AMC2 MED.B.065 Neurology

• ED Decision 2019/002/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Dec 2024)

AMC2 MED.B.065 Neurology 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](#_DxCrossRefBm894735909) 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](#_DxCrossRefBm894735909) are met. A cardiological evaluation and medical flight test should be undertaken for applicants with residual deficiencies. AMC2 MED.B.065 Neurology 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](#_DxCrossRefBm1199963765) 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](#_DxCrossRefBm1199963765) are met. A cardiological evaluation and medical flight test should be undertaken for applicants with residual deficiencies. ##### AMC2 MED.B.065 Neurology *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](#_DxCrossRefBm1743303575) 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](#_DxCrossRefBm1743303575) are met. A cardiological evaluation and medical flight test should be undertaken for applicants with residual deficiencies.