Brain tumor

Your step-by-step plan

1. 1

   Step 1: The neurological evaluation

   Row A's item, which Rows B and C also ask for.Within 90 days before the exam

   A current, detailed neurological evaluation that meets FAA Specifications for Neurologic Evaluation, from a clinic visit with your treating neurologist no more than 90 days before the exam.

   Show the FAA's words: The neurological evaluation

   1. A current, detailed neurological evaluation that meets FAA Specifications for Neurologic Evaluation generated from a clinic visit with the treating neurologist no more than 90 days before the AME exam.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

   2. The individual can submit the MOST RECENT detailed neurological evaluation (in lieu of one 90 days before the AME exam) that meets FAA Specifications for Neurologic Evaluation for initial case review.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

2. 2

   Step 2: The MRI of the brain

   Row A's item, which Rows B and C also ask for.

   An MRI of the brain performed no more than 12 months before the exam.

   How it is sent

   • Both the report and a copy of the images on CD in DICOM readable format, with a file name (as printed) 'DICOMDIR' in the root directory of the CD-ROM
   • The CD verified to display the images before sending
   • The table suggests keeping copies of all CDs or image (as printed), as a safeguard if lost in the mail

   Show the FAA's words: The MRI of the brain

   2. MRI brain performed no more than 12 months before the AME exam. • Submit both the report and a copy of the images on compact disc (CD) in DICOM readable format. (There MUST be a file name ‘DICOMDIR’ in the root directory of the CD-ROM). Please verify the CD will display the images before sending. You may wish to retain copies of all CDs or image as a safeguard if lost in the mail.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

3. 3

   Step 3: Hospital reports

   If hospitalized or radiation treatment was performed.

   If hospitalized or radiation treatment was performed.

   If hospitalized or radiation treatment was performed.

   If hospitalized or radiation treatment was performed: copies of these hospital reports, for each hospitalization related to this condition.

   The reports

   • Admission history and physical
   • Hospital discharge summary
   • The EMS or ambulance run sheet, if applicable
   • Hospital consultant reports, such as neurology, cardiology, internal medicine, or other specialists
   • Lab reports, including all drug or alcohol testing performed
   • Operative or procedure reports
   • Pathology reports
   • Radiology reports: the interpretive reports of all diagnostic imaging performed

   Typically not sufficient as the discharge summary

   • Not: The patient portal notes or after visit summary (AVS) that can be printed from an electronic medical record

   Do not submit

   • Not: Miscellaneous hospital records such as flowsheets, nursing notes, physician orders, and medication administration records

   Imaging

   • The interpretive report on paper and the imaging on CD in DICOM readable format, with a file named 'DICOMDIR' in the root directory of the CD-ROM
   • The CD verified to display the images before sending
   • The table suggests keeping a copy of all films, as a safeguard if lost in the mail

   Show the FAA's words: Hospital reports

   3. If hospitalized or radiation treatment was performed, submit copies of the following Hospital reports for each hospitalization related to this condition: • Admission History and Physical; • Hospital discharge summary. (Typically, the patient portal notes or after visit summary (AVS) that can be printed from an electronic medical record are NOT sufficient for pilot medical certification purposes.); • Emergency Medical Services (EMS)/ambulance run sheet (if applicable);

   …• Hospital consultant report(s) (such as neurology, cardiology, internal medicine, or other specialists); • Lab report(s) including all drug or alcohol testing performed; • Operative/procedure report(s); • Pathology report(s); and • Radiology report(s). The interpretive report(s) of all diagnostic imaging (CT Scan, MRI, X-ray, ultrasound, or others) performed. Submit the interpretive report on paper and imaging on CD in DICOM readable format (there must be a file named 'DICOMDIR' in the root directory of the CD-ROM). Please verify the CD will display the images before sending. You may wish to retain a copy of all films as a safeguard if lost in the mail.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

   • DO NOT submit miscellaneous hospital records such as flowsheets, nursing notes, physician orders, and medication administration records.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

4. 4

   Step 4: If the FAA asks for more

   For Rows A and C, after review of the information submitted.

   Only if required after review of the information submitted.

   Only if required after review of the information submitted.

   A neuropsychological (NP) evaluation that meets FAA Specifications for Neuropsychological Evaluation for Potential Neurocognitive Impairment.

   The table says it MAY be required after review of the information submitted.

   Show the FAA's words: If the FAA asks for more

   4. After review of the information submitted, a neuropsychological (NP) evaluation that meets FAA Specifications for Neuropsychological Evaluation for Potential Neurocognitive Impairment MAY be required.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

5. 5

   Step 5: A seizure, or an acoustic neuroma or pituitary tumor

   Where the table's notes point.

   The table's notes point to other sections of the FAA's guidance.

   The table's notes

   • Rows A and B: if associated with a seizure, also refer to the Seizure section. An additional recovery period may apply.
   • Row A: if the tumor type is acoustic neuroma or pituitary tumor, see the corresponding section

   Show the FAA's words: A seizure, or an acoustic neuroma or pituitary tumor

   Note: If associated with a seizure also refer to the Seizure section. An additional recovery period may apply.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

   If tumor type is Acoustic neuroma or Pituitary Tumor - see the corresponding section.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.

6. 6

   Step 6: See your AME

   The table lists what to submit for FAA review, and the examiner defers and submits the information to the FAA for a possible Special Issuance.Exam day

   • The table lists what to submit for FAA review, and the examiner defers and submits the information to the FAA for a possible Special Issuance.

   Show the FAA's words: See your AME

   A. Benign Brain Tumor (meningioma, gliomas, etc.) NOT surgically treated

   Submit the following for FAA review:

   …DEFER Submit the information to the FAA for a possible Special Issuance.

   FAA source: Brain Tumors. FAA date 29 May 2024; checked by Crosscheck 14 October 2026.