Evidence Checklist: Epilepsy — Petit Mal (Absence)
DC 8911
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
EEG showing 3-Hz spike-and-wave or other petit mal patternCritical
An EEG documenting the characteristic 3-Hz spike-and-wave discharges of absence epilepsy or other petit mal patterns. This is the primary objective diagnostic evidence.
Nexus opinion linking petit mal epilepsy to serviceCritical
A medical opinion connecting your absence epilepsy to an in-service head injury, TBI, or other service event.
Neurologist evaluation confirming absence epilepsy diagnosisCritical
Neurologist evaluation confirming the diagnosis, documenting seizure semiology, and assessing functional impact.
Treatment Records
Anti-epileptic drug records and treatment response
Prescription records for AEDs (ethosuximide, valproate) and documentation of treatment response or breakthrough seizures.
Lay Statements & Personal Documentation
Seizure diary documenting absence or petit mal episode frequencyCritical
A log recording frequency and duration of absence episodes. VA rates petit mal under DC 8911 based on seizure frequency. Because petit mal episodes are brief and frequent, detailed daily logging is essential.
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.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Seizure DisordersCritical
VA standardized form capturing seizure type, frequency, and functional impact for rating under DC 8911 (petit mal epilepsy).
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.