Conditions which might lead to unconsciousness, seizures, uncontrolled movements, or other incapacitation are serious impediments to safe flightAMCDAerospace Medical Certification Division of the FAA in Oklahoma City . The presence, or history of such conditions requires deferral for a decision by AMCD. Special Issuances are possible, if the condition is resolved or demonstrated to be well controlled.
In order to apply for a Special Issuance, the AMCD has a set of standard required documents for a variety of neurologic conditions which are outlined below. Processing
such applications can be expedited by including hospital records, consultation reports, and appropriate laboratory
and imaging studies, if available. Symptoms or disturbances that are secondary to the underlying condition and that
may be acutely incapacitating include pain, weakness, vertigo or in coordination, seizures or a disturbance of
consciousness, visual disturbance, or mental confusion. Chronic conditions may be incompatible with safety in
aircraft operation because of long-term unpredictability, severe neurologic deficit, or psychological impairment.
The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.
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