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Aerospace Medical Dispositions
Item 46. Neurologic

A history or the presence of any neurological condition or disease that potentially may incapacitate an individual should be regarded as initially disqualifying. Issuance of a medical certificate to an applicant in such cases should be denied or defer, pending further evaluation. A convalescence period following illness or injury may be advisable to permit adequate stabilization of an individual's condition and to reduce the risk of an adverse event. Applications from individuals with potentially disqualifying conditions should be forwarded to the AMCD.

Processing such applications can be expedited by including hospital records, consultation reports, and appropriate laboratory and imaging studies, if available. Symptoms or disturbances that are secondary to the underlying condition and that may be acutely incapacitating include pain, weakness, vertigo or in coordination, seizures or a disturbance of consciousness, visual disturbance, or mental confusion. Chronic conditions may be incompatible with safety in aircraft operation because of long-term unpredictability, severe neurologic deficit, or psychological impairment.

The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

• Cerebrovascular Disease (including the brain stem)
• Demyelinating Disease
• Extrapyramidal, Hereditary, and Degenerative Diseases of the Nervous System
• Headaches
• Hydrocephalus and Shunts
• Infections of the Nervous System
• Neurologic Conditions
• Other Conditions
• Presence of any neurological condition or disease that potentially may incapacitate an individual
• Spasticity, Weakness, or Paralysis of the Extremities
• Vertigo or Disequilibrium