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Evidence checklist

Epilepsy — Grand Mal (Generalized Convulsive)

DC 891038 CFR § 4.124aNeurological

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
EEG (electroencephalogram) showing epileptiform activityCritical

An EEG report documenting abnormal brain electrical activity consistent with generalized epilepsy. Both interictal and ictal recordings are useful.

Private provider · independent opinion
Nexus opinion linking epilepsy to service ("at least as likely as not")Critical

A medical opinion connecting your epilepsy to an in-service TBI, head injury, or other service event. TBI is the most common nexus pathway for veterans.

Private provider · independent opinion
Neurologist evaluation documenting epilepsy diagnosis and typeCritical

A neurologist's evaluation confirming generalized epilepsy, seizure type, and current treatment adequacy.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Anti-epileptic drug (AED) prescription and blood level records

Pharmacy records and lab results showing AED prescriptions and therapeutic drug levels. Seizures occurring despite adequate medication support higher ratings.

VA or private records · written request
03

Lay statements

0 of 3 collected
Seizure diary documenting frequency, duration, and type of episodesCritical

A detailed personal log recording each grand mal (tonic-clonic) seizure. VA rating depends directly on seizure frequency (DC 8910): average 1/month = 60%, 1 in 6 weeks = 40%, etc. This log is critical.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Documentation of driving restrictions or employment impact

DMV records showing license restriction, employer statements, or FMLA records showing how seizures affect your ability to drive and work.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Seizure DisordersCritical

VA standardized form capturing seizure type, frequency, duration, and inter-ictal symptoms for rating under DC 8910.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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