Guide for Aviation Medical Examiners

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Decision Considerations - Aerospace Medical Dispositions
Item 46. Neurologic - Cerebrovascular Disease (including the
brain stem) ¹⁵

Disease/Condition	Class	Evaluation Data	Disposition
Cerebral Thrombosis; Intracerebral or Subarachnoid Hemorrhage; Transient Ischemic Attack (TIA)	All	Submit all pertinent medical records, current neurologic report, to include CHD Protocol, Brain MRI, Bilat carotid ultra sound, name and dosage of medication(s) and side effects	Requires FAA Decision
Intracranial Aneurysm or Arteriovenous Malformation	All	Submit all pertinent medical records, current neurologic report, name and dosage of medication(s) and side effects	Requires FAA Decision
Intracranial Tumor16	All	Submit all pertinent medical records, current neurologic report, name and dosage of medication(s) and side effects	Requires FAA Decision
Pseudotumor Cerebri (benign intracranial hypertension)	All	Submit all pertinent medical records, current neurologic report, name and dosage of medication(s) and side effects	Requires FAA Decision

¹⁵ Complete neurological evaluations supplemented with appropriate laboratory and imaging studies are required of applicants with the above conditions. Cerebral arteriography may be necessary for review in cases of subarachnoid hemorrhage.

¹⁶ A variety of intracranial tumors, both malignant and benign, are capable of causing incapacitation directly by neurologic deficit or indirectly through recurrent symptomatology. Potential neurologic deficits include weakness, loss of sensation, ataxia, visual deficit, or mental impairment. Recurrent symptomatology may interfere with flight performance through mechanisms such as seizure, headaches, vertigo, visual disturbances, or confusion. A history or diagnosis of an intracranial tumor necessitates a complete neurological evaluation with appropriate laboratory and imaging studies before a determination of eligibility for medical certification can be established. An applicant with a history of benign supratentorial tumors may be considered favorably for medical certification by the FAA and returned to flying status after a minimum satisfactory convalescence of 1 year.