Guide for Aviation Medical Examiners
Decision Considerations

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• |  Updated: 6:40 pm ET May 30, 2006

Aerospace Medical Dispositions
Item 46. Neurologic - Headaches¹⁹

Disease/Condition	Class	Evaluation Data	Disposition
Atypical Facial Pain	All	Submit all pertinent medical records, current neurologic report, to include name and dosage of medication(s) and side effects	Requires FAA Decision
Chronic Tension or Cluster Headaches	All	Submit all pertinent medical records, current neurologic report, to include characteristics, frequency, severity, associated with neurologic phenomena, name and dosage of medication(s) and side effects	Requires FAA Decision
Migraines	All	Submit all pertinent medical records, current neurologic report, to include characteristics, frequency, severity, associated with neurologic phenomena, and name and dosage of medication(s) and side effects	Initial Special Issuance - Requires FAA Decision Followup Special Issuance’s - See AASI Protocol
Post-traumatic Headache	All	Submit all pertinent medical records, current neurologic report, name and dosage of medication(s) and side effects	Requires FAA Decision

¹⁹ Pain, in some conditions, may be acutely incapacitating. Chronic recurring headaches or pain syndromes often require medication for relief or prophylaxis, and, in most instances, the use of such medications are disqualifying because they may interfere with a pilot's alertness and functioning. The Examiner may issue a medical certificate to an applicant with a long-standing history of headaches if mild, seldom requiring more than simple analgesics, occur infrequently, are not incapacitating, and are not associated with neurological stigmata.