2007
DOI: 10.1080/10903120601021457
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Flicker Illness: An Underrecognized but Preventable Complication of Helicopter Transport

Abstract: A case report of seizure due to photic stimulation from sunlight shining through spinning helicopter rotor blades is discussed. A review of photosensitive epilepsy is provided with particular emphasis on the effects and frequencies of photic stimulation required to induce symptoms. The frequencies of flashing light produced by spinning helicopter rotor blades commonly used in air medical transport range from 24 to 27 flashes per second. These frequencies are well within the range reported in the literature to … Show more

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Cited by 7 publications
(4 citation statements)
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“…In EEG laboratories, epileptiform EEG activity is induced in photosensitive individuals by a xenon gas discharge lamp providing a series of very brief flashes, i.e., laboratory studies have not investigated the effect of very brief dark periods in an otherwise bright stimulus (such as might be provided by a wind turbine rotor). However, in the case of a seizure induced by helicopter blades reported by Cushman and Floccare (2007) the dark period of the shadow flicker was between 24 and 27 times per second. Helicopter blades are usually narrower than those on wind turbines and would provide for a shorter dark interval that might be expected to be less provocative than for a wind turbine blade.…”
Section: Wind Turbine Flicker and Photosensitive Epilepsymentioning
confidence: 98%
See 1 more Smart Citation
“…In EEG laboratories, epileptiform EEG activity is induced in photosensitive individuals by a xenon gas discharge lamp providing a series of very brief flashes, i.e., laboratory studies have not investigated the effect of very brief dark periods in an otherwise bright stimulus (such as might be provided by a wind turbine rotor). However, in the case of a seizure induced by helicopter blades reported by Cushman and Floccare (2007) the dark period of the shadow flicker was between 24 and 27 times per second. Helicopter blades are usually narrower than those on wind turbines and would provide for a shorter dark interval that might be expected to be less provocative than for a wind turbine blade.…”
Section: Wind Turbine Flicker and Photosensitive Epilepsymentioning
confidence: 98%
“…The interruption of light by helicopter blades has caused seizures (Johnson, 1963; Gastaut & Tassinari, 1966; Cushman & Floccare, 2007) but to our knowledge there are no reports of seizures induced by rotating ceiling fans.…”
Section: Flicker From Rotating Bladesmentioning
confidence: 99%
“…What we have shown here is that for stroboscopically illuminated stationary objects such a complete incapacity of cancelling retinal displacement resulting from SPEM is the norm. We believe, therefore, that MIAM might play a role in flicker sickness in which observers report nausea and feeling dizzy when, for example, in a helicopter (Cushman & Floccare, 2007) or working with intermittently flashing lights (Ulett, 1953).…”
Section: Discussionmentioning
confidence: 99%
“…In humans, flickering light is perceived as more bright compared with steady lights (Broca-Sulzner effect) in a wide range of circumstances (Halstead, 1941;White, Belinda Collins, & Rinalducci, 1976) and prolonged exposure to high illumination flickering lights at 5-10 Hz can cause nausea, disorientation, and vertigo (Bucha effect; Bunker, 1997), as light at these frequencies interferes with brain waves associated with relaxation and sleep. Helicopter pilots can potentially suffer from the Bucha effect (at higher 24-27 Hz frequencies) as the rotor blades strobe the sunlight (Cushman & Floccare, 2007), but it is unclear whether dogs can suffer from this sort of effect. Nonetheless, the potential impact from the risk of this effect indicates that it should perhaps receive scientific attention.…”
Section: Temporal Resolution Of Light Stimulimentioning
confidence: 99%