Under which conditions can an applicant with a seizure history be assessed as fit for a LAPL medical certificate?

An applicant may be assessed as fit if there is a history of a single afebrile epileptiform seizure considered to have a very low risk of recurrence, or if there has been no recurrence after at least 5 years off treatment, or if a cause has been identified and treated with no evidence of continuing predisposition to epilepsy.

When may an applicant with a neurological disease that is likely to cause a flight safety hazard be assessed as fit?

Applicants with any disease of the nervous system likely to cause a hazard to flight safety should be assessed as unfit. A fit assessment may be considered in certain cases, including functional loss with stable disease, after full evaluation and, if necessary, a medical flight test.

When can an applicant with a spinal or peripheral nerve injury or a traumatic nervous system disorder be assessed as fit?

Applicants with a history or diagnosis of spinal or peripheral nerve injury or a disorder of the nervous system due to traumatic injury may be assessed as fit if neurological evaluation is satisfactory and the conditions of AMC10 MED.B.095 are satisfied.

AMC12 MED.B.095 Medical examination and assessment of applicants for LAPL medical certificates

Q: How should an applicant for a LAPL medical certificate with an established epilepsy diagnosis currently under treatment be assessed, and what does any re-assessment after stopping treatment involve?

Applicants with an established diagnosis of epilepsy and under treatment 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.

Q: What conditions must be met for an applicant with a head injury causing loss of consciousness or penetrating brain injury to be assessed as fit?

Applicants with a head injury severe enough to cause loss of consciousness or 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. A neurological evaluation may be required depending on the staging of the original injury.

Q: How should an applicant with a nervous system disorder due to vascular deficiencies be assessed, and when may a fit assessment be considered?

Applicants with a nervous system disorder 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.

Navigate / EASA

Ask question Discover more Add to collection

AMC12 MED.B.095 Medical examination and assessment of applicants for LAPL medical certificates

ED Decision 2019/002/R

NEUROLOGY

(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.

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.

Details

Source-Title: AMC12 MED.B.095 Medical examination and assessment of applicants for LAPL medical certificates View latest amendments

Erulesid: ERULES-1963177438-11223 Compare versions

Domain: Aircrew

Applicabilitydate: 30 January, 2019

Entryintoforcedate: 29 January, 2019

Regulatorysource: ED Decision 2019/002/R Navigate

Regulatorysubject: Part-MED

Typeofcontent: AMC to IR (Acceptable means of compliance to implementing rule)

Parentir: MED.B.095 Medical examination and assessment of applicants for LAPL medical certificates

Origin: EASA

Category: EAR