Immediate post-flight/event |
 • Full general medical assessment. |
 • Detailed neurological assessment and examination. |
 • Objective assessment of vestibular function. |
 • MRI brain scan. |
 • Consider referral to a neurologist for severe neurological symptoms and signs. |
Late/subsequent |
If symptoms persist over weeks or months: |
 • Full general medical assessment. |
 • Detailed neurological assessment and examination. |
 • Objective assessment of vestibular function. |
 • MRI – Refer to methodology in [132]. |
 • PET / SPECT – Refer to methodology in [117]. |
 • EMG / ENG—polyneuropathy; |
 • Skin biopsy / IENF (intraepidermal nerve fibres) – Small fibre neuropathy (Lauria et al. 2010)a. |
Neurocognitive/ Neurobehavioural |
Neurocognitive tests that are deemed applicable include the following areas: |
 • Processing speed, written and oral. |
 • Attention and concentration. |
 • Reaction time to stimuli. |
 • Sequential reaction time. |
 • Complex problem solving. |
 • Short and long term visual and verbal memory. |
 • Cognitive flexibility / capacity to change direction. |
Neurocognitive testing: |
 • Coding test from WAIS. |
 • Symbol Digit Modalities Test (written and oral versions), see Section 1B. |
 • CALCAP – Simple and choice reaction time tests. |