"Economy class" stroke syndrome?

Neurology. 2002 Mar 26;58(6):960-1. doi: 10.1212/wnl.58.6.960.


The authors report three cases of ischemic stroke in young adults that occurred during or after an airplane flight. Workup was negative for any cause of stroke other than the presence of a patent foramen ovale (PFO). There is an increasing awareness of deep vein thrombosis and pulmonary embolism occurring in relation to long flights. Individuals with a PFO under these circumstances may be vulnerable to stroke from paradoxic embolism. "Economy class" stroke syndrome may be underdiagnosed and is an eminently preventable cause of stroke.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aircraft*
  • Female
  • Heart Septal Defects, Atrial / complications
  • Humans
  • Male
  • Middle Aged
  • Stroke / diagnosis*
  • Stroke / etiology
  • Stroke / prevention & control
  • Syndrome
  • Travel*