Greyout

From WikiMD's medical encyclopedia

Greyout

Illustration of a greyout experience

A greyout is a temporary condition characterized by a partial loss of vision, often described as a dimming or blurring of vision, without a complete loss of consciousness. It is typically caused by a decrease in blood flow to the brain, which can occur during rapid acceleration or deceleration, such as in high-speed aviation or during certain medical conditions.

Causes

Greyouts are primarily caused by a reduction in blood flow to the brain, which can result from:

  • Orthostatic hypotension: A sudden drop in blood pressure when standing up quickly.
  • G-force exposure: Experienced by pilots and astronauts during rapid acceleration.
  • Dehydration: Leading to reduced blood volume and pressure.
  • Hypoglycemia: Low blood sugar levels affecting brain function.
  • Hyperventilation: Causing a decrease in carbon dioxide levels and subsequent vasoconstriction.

Symptoms

The symptoms of a greyout can vary but often include:

  • A sensation of dimming or blurring of vision.
  • A feeling of lightheadedness or dizziness.
  • A sense of "tunnel vision," where peripheral vision is lost.
  • A feeling of weakness or fatigue.

Prevention and Management

Preventing greyouts involves addressing the underlying causes:

  • Hydration: Ensuring adequate fluid intake to maintain blood volume.
  • Gradual position changes: To prevent orthostatic hypotension.
  • Proper nutrition: To maintain stable blood sugar levels.
  • Controlled breathing: To avoid hyperventilation.

In aviation, pilots are trained to recognize the onset of greyouts and take corrective actions, such as adjusting their posture or using anti-G suits to counteract the effects of high G-forces.

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Contributors: Prab R. Tumpati, MD