Page 394 - UK AirCrew Regulations (Consolidated) March 2022

Part MED - ANNEX IV - Medical

(iii) there is no evidence of continuing predisposition to epilepsy.
(b) EEG
(1) Electroencephalography is required when indicated by the applicant’s history or on
clinical grounds.
(2) Applicants with epileptiform paroxysmal EEG abnormalities and focal slow waves
should be assessed as unfit.
(c) Neurological disease
Applicants with any disease of the nervous system which is likely to cause a hazard to
flight safety should be assessed as unfit. However, in certain cases, including cases of
minor functional losses associated withstable disease, a fit assessment may be
considered after full evaluation which should include a medical flight test which may be
conducted in a flight simulation training device.
(d) Migraine
Applicants with an established diagnosis of migraine or other severe periodic headaches
likely to cause a hazard to flight safety should be assessed as unfit. A fit assessment may
be considered after full evaluation. The evaluation should take into account at least the
following: auras, visual field loss, frequency, severity, therapy. Appropriate limitation(s)
may apply.
(e) Episode of disturbance of consciousness
In the case of a single episode of disturbance of consciousness, which can be
satisfactorily explained, a fit assessment may be considered, but applicants experiencing
a recurrence should be assessed as unfit.
(f) Head injury
Applicants with a head injury which was severe enough to cause loss of consciousness
or is associated with penetrating brain injury should be evaluated by a neurologist. A fit
assessment may be considered if there has been a full recovery and the risk of epilepsy
is sufficiently low.
(g) Spinal or peripheral nerve injury
Applicants with a history or diagnosis of spinal or peripheral nerve injury or a disorder of
the nervous system due to a traumatic injury should be assessed as unfit. A fit
assessment may be considered if neurological evaluation is satisfactory and the
conditions of AMC1 MED.B.050 are satisfied.
(h) Vascular deficiencies
Applicants with a disorder of the nervous system due to vascular deficiencies including
haemorrhagic and ischaemic events should be assessed as unfit. A fit assessment may
be considered if neurological evaluation is satisfactory and the conditions of AMC1
MED.B.050 are satisfied. A cardiological evaluation and medical flight test should be
undertaken for applicants with residual deficiencies.
MED.B.065 AMC2 Neurology
(a) Epilepsy
Applicants may be assessed as fit if:
(1) there is a history of a single afebrile epileptiform seizure, considered to have a very
low risk of recurrence;
(2) there has been no recurrence after at least 10 years off treatment; and
(3) there is no evidence of continuing predisposition to epilepsy.
(b) Neurological disease
Applicants with any disease of the nervous system which is likely to cause a hazard to
flight safety should be assessed as unfit. However, in certain cases, including cases of
functional loss associated with stable disease, a fit assessment may be considered after
full evaluation which should include a medical flight test which may be conducted in a
flight simulation training device.
(c) Migraine
Applicants with an established diagnosis of migraine or other severe periodic headaches
likely to cause a hazard to flight safety should be assessed as unfit. A fit assessment may
be considered after full evaluation. The evaluation should take into account at least the
following: auras, visual field loss, frequency, severity, and therapy. Appropriate limitation(s)
may apply.
(d) Head injury
Applicants with a head injury which was severe enough to cause loss of consciousness
or is associated with penetrating brain injury may be assessed as fit if there has been a
full recovery and the risk of epilepsy is sufficiently low. An evaluation by a neurologist may
be required depending on the staging of the original injury.
(e) Spinal or peripheral nerve injury
Applicants with a history or diagnosis of spinal or peripheral nerve injury or a disorder of
the nervous system due to a traumatic injury should be assessed as unfit. A fit
assessment may be considered if neurological evaluation is satisfactory and the
conditions of AMC2 MED.B.050 are satisfied.
(f) Vascular deficiencies
Applicants with a disorder of the nervous system due to vascular deficiencies including
haemorrhagic and ischaemic events should be assessed as unfit. A fit assessment may
be considered if neurological evaluation is satisfactory and the provisions of AMC2
MED.B.050 are met. A cardiological evaluation and medical flight test should be
undertaken for applicants with residual deficiencies.
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