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Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 46. Neurologic - Headaches

Common Conditions and Course of Action

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
Ocular or complicated migraine 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, Chronic Tension or Cluster Headaches All Review 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 See CACI - Migraine and Chronic Headache Worksheet (PDF). If airman meets all certification criteria - Issue.

All others require FAA decision. Submit all evaluation data.

Initial Special Issuance - Requires FAA Decision

Followup Special
Issuances
- 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

Note: 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.

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