title: First-ever Ischemic Stroke after a Flight in a Patient with Prior Poliomyelitis.
abstract: Survivors of poliomyelitis sometimes travel by air with mobility assistance. However, prolonged seating during long-haul flights may also possibly produce stroke events on polio-inflicted patients. A 48-year-old polio-inflicted male suffered a stroke after an extended flight. A two-dimensional echocardiography was normal without detected patent foramen ovale or dyskinetic segment. The venodynamic variables were all within normal limits. MR Imaging studies revealed acute cerebral infarction in the distribution of the right middle cerebral artery and posterior watershed area. Hematological examination revealed positive anti-cardiolipin IgG antibody which might contribute to the risk of thrombosis as an underlying condition in addition to immobilization. This is the first presentation of ischemic stroke after a flight in a patient with prior poliomyelitis. In addition to decompression sickness, economy class stroke syndrome and postpoliomyelitis syndrome, the physician should also take other coagulation disorders into consideration during the investigation.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Cheng-Chiang
authors.initials: CC
authors.lastname: Chang
authors.forename: Shin-Tsu
authors.initials: ST
authors.lastname: Chang
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Ku
authors.forename: Shang-Lin
authors.initials: SL
authors.lastname: Chiang
authors.forename: Hsiao-Ying
authors.initials: HY
authors.lastname: Chang
authors.forename: Min-Hsin
authors.initials: MH
authors.lastname: Lai
authors.forename: Kao-Chung
authors.initials: KC
authors.lastname: Tsai
authors.forename: Liang-Cheng
authors.initials: LC
authors.lastname: Chen