ED Decision 2019/002/R
(a) Epilepsy
Applicants may be assessed as fit if:
(1) there is a history of a single afebrile epileptiform seizure, considered to have a very low risk of recurrence;
(2) there has been no recurrence after at least 10 years off treatment; and
(3) 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 which should include a medical flight test which may be conducted in a flight simulation training device.
(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, and 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 should be assessed as unfit. A fit assessment may be considered if neurological evaluation is satisfactory and the conditions of AMC2 MED.B.050 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 provisions of AMC2 MED.B.050 are met. A cardiological evaluation and medical flight test should be undertaken for applicants with residual deficiencies.
EASA aircrew medical regulations address neurological conditions like epilepsy, neurological diseases, migraines, head injuries, and nerve/spinal injuries. Fitness assessments depend on condition severity, recurrence risk, and neurological evaluations. Stable conditions may allow "fit" status after thorough review, potentially including flight simulation. Vascular deficiencies also require cardiological evaluation.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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