What is the default fitness assessment outcome for an applicant who has a clinical diagnosis of epilepsy, unless a specific exception applies?

Applicants with a clinical diagnosis or documented medical history of epilepsy shall be assessed as unfit, except in the cases referred to in points (1) and (2) of point (b).

Under what two specific circumstances may an applicant with epilepsy be considered for further evaluation rather than being automatically assessed as unfit?

An applicant with epilepsy may undergo further evaluation if the epilepsy occurred without recurrence after age 5, or if it occurred without recurrence and off all treatment for more than 10 years.

Which specific EEG abnormalities are listed as conditions requiring further evaluation before a fit assessment?

Epileptiform EEG abnormalities and focal slow waves are listed as conditions requiring further evaluation.

Does a penetrating brain injury automatically disqualify an applicant, or does it require further evaluation?

A penetrating brain injury requires further evaluation before the applicant may be assessed as fit; it is not an automatic disqualification.

Which two categories of epilepsy are exceptions to the automatic unfit assessment for epilepsy?

Epilepsy without recurrence after age 5, and epilepsy without recurrence and off all treatment for more than 10 years.

For which class of medical certificate must the applicant be referred to the medical assessor, as opposed to merely consulting with the medical assessor?

For class 1 medical certificate applicants, referral to the medical assessor of the licensing authority is required.

What is the difference in the process for class 1 versus class 2 applicants when a condition listed in (b) is present?

For class 1 applicants, they shall be referred to the medical assessor of the licensing authority. For class 2 applicants, their fitness shall be assessed in consultation with the medical assessor of the licensing authority.

An applicant has a single episode of disturbance of consciousness of uncertain cause. Is this an automatic unfit, or does it require further evaluation?

It requires further evaluation before the applicant may be assessed as fit.

Which two conditions in MED.B.065(a) lead to an automatic unfit assessment?

Epilepsy (except in the cases referred to in points (1) and (2) of point (b)) and recurring episodes of disturbance of consciousness of uncertain cause.

What is the applicability date of Regulation (EU) 2019/27 as referenced in MED.B.065?

The section does not state an applicability date.

MED.B.065 Neurology

Q: Which neurological condition involving recurring episodes of disturbance of consciousness of uncertain cause leads to an automatic unfit assessment?

Recurring episodes of disturbance of consciousness of uncertain cause lead to an automatic unfit assessment.

Q: List three of the conditions that require further evaluation before an applicant may be assessed as fit, as specified in MED.B.065(b).

Examples include: epileptiform EEG abnormalities and focal slow waves; progressive or non-progressive disease of the nervous system; inflammatory disease of the central or peripheral nervous system; migraine; a single episode of disturbance of consciousness of uncertain cause; loss of consciousness after head injury; penetrating brain injury; spinal or peripheral nerve injury; or disorders of the nervous system due to vascular deficiencies including haemorrhagic and ischaemic events.

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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.

Details

Source-Title: MED.B.065 Neurology View latest amendments

Erulesid: ERULES-1963177438-11166 Compare versions

Domain: Aircrew

Applicabilitydate: 30 January, 2019

Entryintoforcedate: 30 January, 2019

Regulatorysource: Regulation (EU) 2019/27 Navigate

Regulatorysubject: Part-MED

Typeofcontent: IR (Implementing rule)

Origin: EASA

Category: EAR

MED.B.065 Neurology

Details

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