Dr. Hitesh Kumar
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had a TIA (transient ischemic attack) about a month ago. Is it safe to fly and to fly to a high-elevation city? I live in a low-elevation city, only a couple hundred feet above sea level. I have congenital myopathy and dysautonomia as well. I am currently taking Amitriptyline 100mg.
Please help me.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
I would like to know some more details about your symptoms:
1. What exact symptoms you had in TIA (which happened 1 month ago)? And how much time it took to resolve?
2. Did you undergo any MRI (magnetic resonance imaging) brain or CT (computed tomography) angiogram or brain vessels or USG (ultrasound scan) Doppler for carotids or vertebral arteries or cardiac evaluation like ECG or 2D echocardiography? If yes, please send those reports as attachments.
3. Since when do you have dysautonomia? And by which symptoms or findings it was suspected or diagnosed?
4. Since when you are taking the tablet Amitriptyline and taking it for which symptoms or diagnosis?
Please get back with the reports.
Thank you.
The Probable causes
Investigations to be done
Regarding follow up
Patient's Query
Hello Doctor, thank you so much for the reply.
I experience visual anomalies like flashing lights, loss of vision in my left eye, confusion, and weakness on my left side. I had a CT done. The hospital never gave me the files or anything from the ER so I do not have those. I have had dysautonomia my whole life. Mainly postural orthostatic tachycardia and complex region pain syndrome in my ankle. I have never had any high blood pressure issues though.
I am taking Amitriptyline 100 mg tablets daily for chronic migraine.
Thank you.
Hello,
Welcome back to icliniq.com.
Without any investigational reports, It is not easy to guide about flying. As you mentioned, you had TIA (flashes of light, loss of vision in left eye, and weakness in left side), how long it took to improve? Are you also on some blood thinners (antiplatelets) or other medicines (apart from Amitriptyline) after that incident? if yes, please tell me.
If possible, can you retrieve your investigation reports from the hospital and send them here as attachments? If not feasible, I would suggest some investigations.
Thank you.
Investigations to be done
Preventive measures
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