---
title: "MED.B.065 Neurology — Part-MED · Avioverse"
description: "Applicants with clinical diagnosis or a documented medical history of any of the following medical conditions shall be assessed as unfit:"
url: "https://avioverse.aero/regulations/easa/aircrew/part-med/subpart-b/med-b-065"
---

# MED.B.065 Neurology

ANNEX IV (Part-MED) · Regulation (EU) No 1178/2011 · EAR revision 16 Oct 2026

Official sources: [EASA Easy Access Rules (opens in a new tab)](https://www.easa.europa.eu/en/document-library/easy-access-rules/easy-access-rules-aircrew) · [EUR-Lex 2011/1178 (opens in a new tab)](https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32011R1178)

IR Implementing rule

## MED.B.065 Neurology

(a) Applicants with clinical diagnosis or a documented [medical history](https://avioverse.aero/glossary/easa/medical-history) of any of the following medical conditions shall be assessed as unfit:

(1) epilepsy, except in the cases referred to in points (1) and (2) of point (b);

(2) recurring episodes of disturbance of consciousness of uncertain cause.

(b) Applicants with clinical diagnosis or a documented medical history of any of the following medical conditions shall undergo further evaluation before they may be assessed as fit:

(1) epilepsy without recurrence after age 5;

(2) epilepsy without recurrence and off all treatment for more than 10 years;

(3) epileptiform EEG abnormalities and focal slow waves;

(4) progressive or non-progressive disease of the nervous system;

(5) inflammatory disease of the central or peripheral nervous system;

(6) migraine;

(7) a single episode of disturbance of consciousness of uncertain cause;

(8) loss of consciousness after head injury;

(9) penetrating brain injury;

(10) spinal or peripheral nerve injury;

(11) disorders of the nervous system due to vascular deficiencies including haemorrhagic and ischaemic events.

Applicants for a class 1 medical certificate shall be referred to the medical assessor of the [licensing authority](https://avioverse.aero/glossary/easa/licensing-authority). The fitness of applicants for a class 2 medical certificate shall be assessed in consultation with the medical assessor of the licensing authority.

IR · MED.B.065 — Regulation (EU) No 1178/2011 · Regulation (EU) 2019/27 · Aircrew Easy Access Rules · EAR revision 16 Oct 2026

AMC Acceptable means of compliance

## AMC1 MED.B.065 Neurology

(a) Epilepsy

(1) Applicants with a diagnosis of epilepsy should be assessed as unfit unless there is unequivocal evidence of a syndrome of benign childhood epilepsy associated with a very low risk of recurrence, and unless the [applicant](https://avioverse.aero/glossary/easa/applicant) has been free of recurrence and off treatment for more than 10 years. One or more convulsive episode after the age of 5 should lead to unfitness. In the case of an acute symptomatic seizure, which is considered to have a very low risk of recurrence, a fit assessment may be considered after neurological evaluation.

(2) Applicants may be assessed as fit with an OML if:

(i) there is a history of a single afebrile epileptiform seizure;

(ii) there has been no recurrence after at least 10 years off treatment;

(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](https://avioverse.aero/glossary/easa/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.

AMC · AMC1 MED.B.065 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 16 Oct 2026

AMC Acceptable means of compliance

## AMC2 MED.B.065 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](https://avioverse.aero/glossary/easa/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.

AMC · AMC2 MED.B.065 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 16 Oct 2026

[All rules in SUBPART B – REQUIREMENTS FOR PILOT MEDICAL CERTIFICATES](https://avioverse.aero/regulations/easa/aircrew/part-med/subpart-b)

Consolidated from the EASA Easy Access Rules (revision 16 Oct 2026, extracted 2 Nov 2026) for convenience. Not the official publication — verify against the Official Journal of the European Union and the EASA publications before operational use.