三叉神經痛之缺點免計及航空醫學考量

The Aeromedical Concerns of Trigeminal Neuralgia

陳明澤(Ming-Tse Chen) ； 周佳弘(Jia-Hong Chou) ； 葉雲至(Yun-Chih Yeh) ； 游博捷(Bo-Jie Yu) ； 邱振豪(Chen-Hao Chiu)

《中華民國航空醫學暨科學期刊》 37卷1&2期 (2023/12) Pp. 92-101

https://doi.org/10.7011/JAMSROC.202312_37(1_2).0011

摘要

三叉神經痛是由第五對腦神經三叉神經病變所引發，在臺灣發生率約每10萬人中有4至5人。生活中尋常的動作如手指輕碰敏感處即可誘發三叉神經痛，若是於飛航時突發三叉神經痛，對飛安的影響甚鉅。目前該疾病主流治療方法包括藥物及手術（顯微血管減壓手術）治療。中華民國國軍航空醫務教範有提及神經痛的相關規定；美國聯邦航空總署航空體檢醫師指引有提及三叉神經痛缺點免計相關的資料。本文討論三叉神經痛的航空醫學與缺點免計相關議題，供航空學界參考。

關鍵字

三叉神經痛 ； 缺點免計 ； 飛行安全

並列摘要

Trigeminal neuralgia is caused by lesions of the fifth cranial nerve, the trigeminal nerve. In Taiwan, the incidence rate of trigeminal neuralgia is approximately 4 to 5 per 100,000 person-years. Daily activities such as lightly touching sensitive areas with the fingers can trigger trigeminal neuralgia. If trigeminal neuralgia occurs suddenly during a flight, it can have a significant impact on flight safety. The main treatment for this condition include medications (carbamazepine and oxcarbazepine) and surgery (microvascular decompression surgery). Currently, the Republic of China Air Force Aviation Medical Manual do provide aeromedical regulations related to neuralgia. The United States Federal Aviation Administration (FAA) also has guidelines include waiver requirements for trigeminal neuralgia . Here, we discuss and summarize the aeromedical and waiver considerations of trigeminal neuralgia.

並列關鍵字

trigeminal neuralgia ； waiver ； flight safety