Decision Considerations – Aerospace Medical Dispositions
Item 46. Neurologic – Headaches
| 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.