AMC12 MED.B.095 Medical examination and assessment of applicants for LAPL medical
certificates
ED Decision 2019/002/R
(a) Epilepsy and seizures
(1) Applicants with an established diagnosis of and under treatment for epilepsy should be assessed as unfit. A re-assessment after all treatment has been stopped for at least 5 years should include a review of neurological reports.
(2) Applicants may be assessed as fit if:
(i) there is a history of a single afebrile epileptiform seizure considered to have a very low risk of recurrence;
(ii) there has been no recurrence after at least 5 years off treatment;
(iii) a cause has been identified and treated and there is no evidence of continuing predisposition to epilepsy.
(b) Neurological disease
Applicants with any disease of the nervous system which is likely to cause a hazard to flight safety should be assessed as unfit. However, in certain cases, including cases of functional loss associated with stable disease, a fit assessment may be considered after full evaluation including, if necessary, a medical flight test.
(c) Migraine
Applicants with an established diagnosis of migraine or other severe periodic headaches likely to cause a hazard to flight safety should be assessed as unfit. A fit assessment may be considered after full evaluation. The evaluation should take into account at least the following: auras, visual field loss, frequency, severity, therapy. Appropriate limitation(s) may apply.
(d) Head injury
Applicants with a head injury which was severe enough to cause loss of consciousness or is associated with penetrating brain injury may be assessed as fit if there has been a full recovery and the risk of epilepsy is sufficiently low. An evaluation by a neurologist may be required depending on the staging of the original injury.
(e) Spinal or peripheral nerve injury
Applicants with a history or diagnosis of spinal or peripheral nerve injury or a disorder of the nervous system due to a traumatic injury may be assessed as fit if neurological evaluation is satisfactory and the conditions of AMC10 MED.B.095 are satisfied.
(f) Vascular deficiencies
Applicants with a disorder of the nervous system due to vascular deficiencies including haemorrhagic and ischaemic events should be assessed as unfit. A fit assessment may be considered if neurological evaluation is satisfactory and the conditions of AMC10 MED.B.095 are satisfied. A cardiological evaluation and medical flight test should be undertaken for applicants with residual deficiencies.
For Light Aircraft Pilot Licence (LAPL) medicals, applicants with epilepsy under treatment are unfit. After 5 years off treatment, reassessment is possible. Neurological conditions posing flight risks deem applicants unfit, though stable cases may be considered fit after evaluation. Migraine sufferers require thorough assessment. Head, spinal, or nerve injuries, and vascular deficiencies necessitate neurological evaluations for potential fitness.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
Loading collections...