Enlisting Requirements - Neurological Disorders

Neurological disorders
a. Current or history of cerebrovascular conditions, including but not limited to subarachnoid (430) or intracerebral (431) hemorrhage, vascular insufficiency, aneurysm, or arteriovenous malformation (437), are disqualifying.
b. History of congenital or acquired anomalies of the central nervous system (742), or meningocele (741.9), is disqualifying.
c. Current or history of disorders of meninges, including, but not limited to cysts (349.2), is disqualifying
d. Current or history of degenerative and hereditodegenerative disorders, including, but not limited to those disorders affecting the cerebrum (330), basal ganglia (333), cerebellum (334), spinal cord (335), or peripheral nerves (337), are disqualifying.
e. History of recurrent headaches (784.0), including, but not limited to, migraines (346) and tension headaches (307.81) that interfere with normal function in the past 3 years, or of such severity to require prescription medications, are disqualifying.
f. Head injury (854.0).
(1) History of head injury will be disqualifying if associated with any of the following:
(a) Post-traumatic seizure(s) occurring more than 30 minutes after injury.
(b) Persistent motor or sensory deficits.
(c) Impairment of intellectual function.
(d) Alteration of personality.
(e) Unconsciousness, amnesia, or disorientation of person, place, or time of 24-hours duration or longer post-injury.
(f) Multiple fractures involving skull or face (804).
(g) Cerebral laceration or contusion (851).
(h) History of epidural, subdural, subarachnoid, or intercerebral hematoma (852).
(i) Associated abscess (326) or meningitis (958.8).
(j) Cerebrospinal fluid rhinorrhea (349.81) or otorrhea (388.61) persisting more than 7 days.
(k) Focal neurologic signs. AR 40-501 – 14 December 2007 13
(l) Radiographic evidence of retained foreign body or bony fragments secondary to the trauma and/or operative procedure in the brain.
(m) Leptomeningeal cysts or Arteriovenous Fistula.
(2) History of moderate head injury (854.03) is disqualifying. After 2 years post-injury, applicants may be qualified if neurological consultation shows no residual dysfunction or complications. Moderate head injuries are defined as unconsciousness, amnesia, or disorientation of person, place, or time alone or in combination, of more than 1 and less than 24-hours duration post-injury, or linear skull fracture.
(3) History of mild head injury (854.02) is disqualifying. After 1 month post-injury, applicants may be qualified if neurological evaluation shows no residual dysfunction or complications. Mild head injuries are defined as a period of unconsciousness, amnesia, or disorientation of person, place, or time, alone or in combination of 1 hour or less postinjury.
(4) History of persistent post-traumatic symptoms (310.2) that interfere with normal activities or have duration of greater than 1 month is disqualifying. Such symptoms include, but are not limited to headache, vomiting, disorientation, spatial disequilibrium, impaired memory, poor mental concentration, shortened attention span, dizziness, or altered sleep patterns.
g. Infectious diseases of the central nervous system.
(1) Current or history of acute infectious processes of the central nervous system, including, but not limited to meningitis (322), encephalitis (323), or brain abscess (324), are disqualifying if occurring within 1 year before examination, or if there are residual neurological defects.
(2) History of neurosyphilis (094) of any form, including but not limited to general paresis, tabes dorsalis or meningovascular syphilis, is disqualifying.
h. Current or history or narcolepsy or cataplexy (347) is disqualifying,
i. Current or history of paralysis, weakness, lack of coordination, chronic pain, sensory disturbance or other specified paralytic syndromes (344) is disqualifying.
j. Epilepsy (345) occurring beyond the 6 th birthday, unless the applicant has been free of seizures for a period of 5 years while taking no medication for seizure control, and has a normal electroencephalogram (EEG) is disqualifying . All such applicants will have a current neurology consultation with current EEG results.
k. Chronic nervous system disorders, including but not limited to myasthenia gravis (358.0), multiple sclerosis (340), and tic disorders (307.20) (for example, Tourett’s (307.23)) are disqualifying.
l. Current or history of retained central nervous system shunts of all kinds (V45.2) are disqualifying.
2-27. Learning, psychiatric and behavioral disorders
a. Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (314), or Perceptual/Learning Disorder(s) (315) is disqualifying, unless applicant can demonstrate passing academic performance and there has been no use of medication(s) in the previous 12 months.
b. Current or history of academic skills or perceptual defects (315) secondary to organic or functional mental disorders, including, but not limited to dyslexia, that interfere with school or employment, are disqualifying. Applicants demonstrating passing academic and employment performance without utilization or recommendation of academic and/ or work accommodations at any time in the previous 12 months may be qualified.
c. Current or history of disorders with psychotic features such as schizophrenia (295), paranoid disorder (297), and other unspecified psychosis (298) is disqualifying.
d. Current mood disorders including, but not limited to, major depression (296.2-3), bipolar (296.4-7), affective psychoses (296.8-9), depressive not otherwise specified (311), are disqualifying.
(1) History of mood disorders requiring outpatient care for longer than 6 months by a physician or other mental health professional (V65.40), or inpatient treatment in a hospital or residential facility is disqualifying.
(2) History of symptoms consistent with a mood disorder of a repeated nature that impairs school, social, or work efficiency is disqualifying.
e. Current or history of adjustment disorders (309) within the previous 3 months is disqualifying.
f. Current or history of conduct (312), or behavior (313) disorders is disqualifying. Recurrent encounters with law enforcement agencies, antisocial attitudes or behaviors are tangible evidence of impaired capacity to adapt to military service and as such are disqualifying.
g. Current or history of personality disorder (301) is disqualifying. History (demonstrated by repeated inability to maintain reasonable adjustment in school, with employers or fellow workers, or other social groups), interview, or psychological testing revealing that the degree of immaturity, instability, personality inadequacy, impulsiveness, or dependency will likely interfere with adjustment in the Armed Forces is disqualifying.
h. Current or history of other behavior disorders is disqualifying, including, but not limited to conditions such as the following:
(1) Enuresis (307.6) or encopresis (307.7) after 13th birthday is disqualifying.
(2) Sleepwalking (307.4) after 13th birthday is disqualifying.
14 AR 40-501 – 14 December 2007
(3) Eating disorders (307.5), anorexia nervosa (307.1), bulimia (307.51), or unspecified disorders of eating (307.59) lasting longer than 3 months and occurring after 13th birthday are disqualifying.
i. Any current receptive or expressive language disorder, including, but not limited to any speech impediment, stammering and stuttering (307.0) of such a degree as to significantly interfere with production of speech or to repeat commands, is disqualifying.
j . History of suicidal behavior, gesture(s) or attempts (300.9) , or history of self-mutilation is disqualifying.
k. Current or history of anxiety disorders (anxiety (300.01) or panic (300.2)), agoraphobia (300.21), social phobia (300.23), simple phobias (300.29), obsessive-compulsive (300.3), other acute reactions to stress (308), and posttraumatic stress disorder (309.81) are disqualifying.
l. Current or history of dissociative disorders, including, but not limited to hysteria (300.1), depersonalization (300.6), and other (300.8), are disqualifying.
m. Current or history of somatoform disorders, including, but not limited to hypochondriasis (300.7) or chronic pain disorder, are disqualifying.
n. Current or history of psychosexual conditions (302), including, but not limited to transsexualism, exhibitionism, transvestism, voyeurism, and other paraphilias, are disqualifying.
o. Current or history of alcohol dependence (303), drug dependence (304), alcohol abuse (305), or other drug abuse (305.2 thru 305.9) is disqualifying.
p. Current or history of other mental disorders (all 290-319 not listed above) that in the opinion of the civilian or military provider will interfere with, or prevent satisfactory performance of military duty, are disqualifying.

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