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Updated: Jan 1, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Migraine History and Recurrence in Military Pilot Applicants.

Roger R Hesselbrock, Jared T Haynes

    Aerospace Medicine and Human Performance
    |December 20, 2019
    PubMed
    Summary

    Migraine diagnosis may not exclude military pilots. A review of waivered U.S. Air Force pilot applicants found a low recurrence rate, suggesting updated aeromedical standards are feasible.

    Area of Science:

    • Aerospace Medicine
    • Neurology

    Background:

    • Migraine headaches pose challenges for aviation, particularly for military pilot applicants.
    • Historically, migraine diagnoses led to exclusion from pilot training due to concerns about unpredictability and operational impact.
    • Current medical standards and policies for migraine in aviation are variable and lack objective evidence.

    Purpose of the Study:

    • To assess predictive factors for migraine recurrence in U.S. Air Force pilot applicants granted waivers.
    • To evaluate the aeromedical impact of migraine in this population.
    • To inform potential revisions to aeromedical standards and policies regarding migraine.

    Main Methods:

    • Retrospective review of 71 U.S. Air Force pilot applicants diagnosed with migraine who received waivers.

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  • Analysis of migraine recurrence and timing after waiver approval.

    • Main Results:

    • Only three out of 71 applicants experienced migraine recurrence after their waiver was granted.
    • Recurrences were noted within 3 years of the last reported migraine event.
    • Two of the three recurrences occurred within 2 years of the last reported event.

    Conclusions:

    • Migraine recurrence risk appears low in carefully selected military pilot applicants.
    • A migraine-free observation period prior to training may be a suitable criterion for aeromedical standards.
    • Data supports the development of evidence-based policies for managing migraine in aviation personnel.