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MED.B.065 Neurology

Regulation (EU) 2019/27

(a)     Applicants with clinical diagnosis or a documented medical history of any of the following medical conditions shall be assessed as unfit:

(1)     epilepsy, except in the cases referred to in points (1) and (2) of point (b);

(2)     recurring episodes of disturbance of consciousness of uncertain cause.

(b)     Applicants with clinical diagnosis or a documented medical history of any of the following medical conditions shall undergo further evaluation before they may be assessed as fit:

(1)     epilepsy without recurrence after age 5;

(2)     epilepsy without recurrence and off all treatment for more than 10 years;

(3)     epileptiform EEG abnormalities and focal slow waves;

(4)     progressive or non-progressive disease of the nervous system;

(5)     inflammatory disease of the central or peripheral nervous system;

(6)     migraine;

(7)     a single episode of disturbance of consciousness of uncertain cause;

(8)     loss of consciousness after head injury;

(9)     penetrating brain injury;

(10)    spinal or peripheral nerve injury;

(11)    disorders of the nervous system due to vascular deficiencies including haemorrhagic and ischaemic events.

Applicants for a class 1 medical certificate shall be referred to the medical assessor of the licensing authority. The fitness of applicants for a class 2 medical certificate shall be assessed in consultation with the medical assessor of the licensing authority.