Neurology Flashcards
DQ
epilepsy, menieres, unrepaired AVM, Severe TBI, Dementia
max cert for neuro is
1 yr
Wait for TIA
1 yr off meds and neuro clear
DQ for TIA
if on anticoag for TIA
Stroke/brain bleed wait
1yr no seizure risk
5yr seizure risk
DQ Stroke/brain bleed
on seizure meds
Mild TBI
<30min sx and no dural penetration
Mod TBI
> 30min but <24h sx and no dural penetration
Severe TBI
> 24h sx and dural penetration
Which TBI DQ
severe and surgery penetrating dura
Cert for mild without seizures
1yr
Wait mild TBI w/o SZ
1y without meds
Wait mild TBI w SZ
2y without meds
Wait mod TBI w SZ
5y without meds
Who has to clear TBI
neurologist, neuro-optho, neuro-psych
wait for aseptic meningitis without complications
none
wait for bacterial meningitis with SZ
5 yr (need 1 yr off meds)
wait for viral meningitis with SZ
10 yr (need 1 yr off meds)
certify meningitis
2 yr
Dementia cert
DQ
headache wait
NONE
headache cert
2 yr
DQ tumors
malignant tumors, current CNS tumor
1yr wait after Surgical removal
infratent meningioma, acoustic neuroma, pituitary adenoma, beinign spinal tumor, extraxial neural tumor
2yr wait after Surgical removal
spinal tumors, benign supratentorial tumors
certification for tumors
1 yr after nuro clearance and negative imaging
wait for one SZ
5yr sx and drug free
wait for epilepsy
10yr sx and drug free
wait for uncomplicated febrile
none and 2yr recert
Minimum 1yr for SZ
stroke without TBI
mild TBI without SZ
intracranial bleed without SZ
minimum 2 yr wait
mod TBI w/o seizure
mild TBI with seizure
minimum 5yr wait
MOD TBI with sz
stroke with seizure/risk
intracranial bleed with seizure/risk
if secondary seqzure due to metabolic causes wait and cert
no wait, 2 yr cert
wait/cert BPV or vestibulopathy
2 mo no sx, 2yr cert
DQ vertigo
benzo or phenothiazine
Is MS a DQ
no if no sx
Episodic neurological conditions
• Extreme headaches—such as migraine, cluster headache, and neuralgia
• Vertigo.
• Diagnosed epilepsy treated with anticonvulsant medication.
• Narcolepsy.
• Sleep apnea, untreated.
• Idiopathic Central Nervous System Hypersomnolence and Primary Alveolar Hyperventilation Syndrome.
• Restless legs associated with disorder of excessive somnolence (RLS-DOES) syndrome
No functional residual means
no impairment
if a driver is on anticoag for cardio and has hx of TIA can they be certified
no
max certify for autonomic neuropathy
2 years