
My fiancé wants to travel to live with me in Australia, but has been told flying is too dangerous. He was in a coma for a month after a car crash a year ago. He is on various medications to prevent seizures and blood coagulation, but walks, talks, and surfs in his spare time (against doctors’ orders). Is it safe to travel on a plane after a serious brain injury, or even a mild one for that matter?
Based on the information you provided, it is difficult to give you a specific answer as it relates to your fiancé traveling to live with you in Australia. In and of itself, TBI is not a contraindication to traveling by plane, particularly when the plane is adequately pressurized. That said, there are at least some physiological stress factors implicit in air travel. On rare occasions, people who have a lowered seizure threshold or who are on anti-epileptic drugs find that air travel can lower their seizure threshold causing them to seize. Therefore, it is important for your fiancé to discuss specific restrictions with his physician and know whether the plane he’ll be traveling on will be adequately pressurized. Ultimately, without knowing more, it’s difficult to offer specific suggestions.
For people who have had a mild TBI and unless there were extenuating circumstances, I would see no general reason for your fiancé to avoid flying, particularly in the post-acute phase.
My best recommendation is for your fiancé to talk with a physician who specializes in brain injury medicine who can review his specific circumstances relative to the safety of air travel. Safe flying!
About the author: Nathan Zasler, MD
Nathan Zasler, MD is CEO and medical director for Concussion Care Centre of Virginia, Ltd. as well as CEO and medical director for Tree of Life Services, Inc. He is board certified in physical medicine and rehabilitation and fellowship trained in brain injury.

Comments (6)
Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.
Sania replied on Permalink
My son hade seizure las year his under medication Kepra I want to go overseas can he go on the plane 20 hours flaying
Yam replied on Permalink
I worked in a ship and i have a brain injury 3 months ago anx need to go home in 2 months now i fell pressure headache cant sleep problem thinking ad memory problem become slow and emotion changes what is the risks of flying back home for almost 2 days together in waiting in the airport
Yam replied on Permalink
I worked in a ship and i have a brain injury 3 months ago anx need to go home in 2 months now i fell pressure headache cant sleep problem thinking ad memory problem become slow and emotion changes what is the risks of flying back home for almost 2 days together in waiting in the airport
John mccaskill replied on Permalink
Hi im'e john from the uk I had my brain injury 10 years ago after my drink got spiked and I ended up in a coma for 5 months and left with the loss of 10% of oxygen and then in 2015 I had my first fit and that left me with a small bleed on the brain and a namanola on the brain and my sister wants me to go on holiday and wondering if I can fly
Anonymous replied on Permalink
My husband had a stroke and brain haemorrhage in 2005. He has a missing bone flap. He is on medication. Do you know if he would be able to fly a short trip?
Anonymous replied on Permalink
Is ten days long enough to wait to fly after a concussion