Neurologic - Neurologic Conditions
Apr 2014
Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).
Decision Grid - Aerospace Medical Dispositions
|
DISEASE/CONDITION |
CLASS |
EVALUATION DATA |
DISPOSITION |
|---|---|---|---|
| A disturbance of consciousness without satisfactory medical explanation of the cause | All | Submit all pertinent medical records, current neurologic report, to include name and dosage of medication(s) and side effects | Requires FAA Decision |
| Epilepsy 20 Rolandic Seizure * see below |
All | Submit all pertinent medical records, current status report, to include name and dosage of medication(s) and side effects |
Requires FAA Decision |
| Febrile Seizure 21 (Single episode) |
All | Submit all pertinent medical records and a current status report | If occurred prior to age 5, without recurrence and off medications for 3 years - Issue Otherwise Requires FAA Decision |
| Transient loss of nervous system function(s) without satisfactory medical explanation of the cause; e.g., transient global amnesia | All | Submit all pertinent medical records, current status report, to include name and dosage of medication(s) and side effects |
Requires FAA Decision |
20 Unexplained syncope, single seizure. An applicant who has a history of epilepsy, a disturbance of consciousness without satisfactory medical explanation of the cause, or a transient loss of control of nervous system function(s) without satisfactory medical explanation of the cause must be denied or deferred by the Examiner. Rolandic seizures may be eligible for certification if the applicant is seizure free for 4 years and has a normal EEG. Consultation with FAA required.
21 Infrequently, the FAA has granted an Authorization under the special issuance section of part 67 14 CFR 67.401 when a seizure disorder was present in childhood but the individual has been seizure-free for a number of years. Factors that would be considered in determining eligibility in such cases would be age at onset, nature and frequency of seizures, precipitating causes, and duration of stability without medication. Followup evaluations are usually necessary to confirm continued stability of an individual's condition if an Authorization is granted under the special issuance section of part 67 14 CFR 67.401.
This page discussed the Neurologic Conditions portion of the Neurologic section of the Fight Physical Examination required of pilots.
Reminder: use FlightPhysical.com to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now