Casualties unknown

2003-01-31: Beech D95A (N5639S) — Lancaster, CA

Lancaster, CA, US

On January 31, 2003, a Beech D95A (registration N5639S) was involved in an aviation accident near Lancaster, CA. Investigators recorded the probable cause as: The instructor pilot's brain swelling and the effects of tramadol likely produced seizure activity that interfered with aircraft controls, making it difficult or impossible for the student to control the aircraft. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards

An airplane collided with a hangar during a go-around. The instructor pilot had undiagnosed lung cancer with brain metastases, brain swelling, and tramadol in his system, which likely caused a seizure.

Event Summary

The airplane collided with a hangar during a go-around. The flight crew entered the traffic pattern and completed one touch-and-go landing. The crew then requested, and the controller cleared them, for a simulated single-engine full-stop landing on runway 24. The controller noted that the touch-and-go approach and landing appeared unremarkable.

Approach and Descent

During the single-engine full-stop approach, the controller observed the airplane making a short approach with wings rocking back and forth. The airplane appeared low and could possibly land short of the runway. As it approached the end of the runway, it began to veer to the left from the flight crew's perspective. The controller stated it appeared headed directly for the control tower as it continued to drift left. The airplane stayed low to the ground, and the controller had the impression the flight crew was attempting to climb. The wing lights continued rocking back and forth as the airplane drifted left, crossing the dirt infield and a taxiway while still airborne.

Collision

The bank angle then increased sharply to the left, and the airplane disappeared behind some hangars. The controller estimated the airplane was 1,500 feet from the approach end of the runway when he observed a fireball and alerted rescue crews.

Medical Findings

The instructor pilot's autopsy revealed undiagnosed lung cancer that had metastasized to his brain. The brain showed evidence of severe swelling with disruption of normal brain structure. The instructor pilot had been prescribed tramadol, a pain medication, which was found in his blood at a level consistent with regular use at least at the prescribed dose. Tramadol is known to increase the risk for seizures, particularly in patients with other potential seizure risks.

Probable Cause

The effects of the brain swelling and the medication likely produced seizure activity in the instructor, which could have significantly interfered with aircraft controls and made it difficult or impossible for the student to adequately control the aircraft.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20030207X00185. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.