Guide for Aviation Medical Examiners
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 |
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.
