{
  "url": "https://openlegislation.uk/eu-regulation-2011-1178/annex-IV/division-SUBPART+B/section-2/division-MED.B.065",
  "json_url": "https://openlegislation.uk/eu-regulation-2011-1178/annex-IV/division-SUBPART+B/section-2/division-MED.B.065.json",
  "legislation": "eur/2011/1178",
  "legislation_title": "Commission Regulation (EU) No 1178/2011 of 3 November 2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-regulation-2011-1178",
  "path": "annex/IV/division/SUBPART+B/section/2/division/MED.B.065",
  "kind": "division",
  "number": "MED.B.065",
  "heading": "Neurology",
  "text": "(a)Applicants with clinical diagnosis or a documented medical history of any of the following medical conditions shall be assessed as unfit:\n(1)epilepsy, except in the cases referred to in points (1) and (2) of point (b);\n(2)recurring episodes of disturbance of consciousness of uncertain cause.\n(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:\n(1)epilepsy without recurrence after age 5;\n(2)epilepsy without recurrence and off all treatment for more than 10 years;\n(3)epileptiform EEG abnormalities and focal slow waves;\n(4)progressive or non-progressive disease of the nervous system;\n(5)inflammatory disease of the central or peripheral nervous system;\n(6)migraine;\n(7)a single episode of disturbance of consciousness of uncertain cause;\n(8)loss of consciousness after head injury;\n(9)penetrating brain injury;\n(10)spinal or peripheral nerve injury;\n(11)disorders of the nervous system due to vascular deficiencies including haemorrhagic and ischaemic events.\nApplicants for a class 1 medical certificate shall be referred to the medical assessor of the CAA. The fitness of applicants for a class 2 medical certificate shall be assessed in consultation with the medical assessor of the CAA.",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "F",
      "label": "F1",
      "text": "Substituted by Commission Implementing Regulation (EU) 2019/27 of 19 December 2018 amending Regulation (EU) No 1178/2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council (Text with EEA relevance)."
    },
    {
      "type": "F",
      "label": "F2",
      "text": "Word in Annex 4 points MED.B.050-MED.B.080 substituted (31.12.2020) by The Aviation Safety (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/645), regs. 1, 318(3) (with Sch. 3) (as amended by S.I. 2019/1098, regs. 1(3), 12); 2020 c. 1, Sch. 5 para. 1(1)"
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eur/2011/1178/annex/IV/division/SUBPART+B/section/2/division/MED.B.065",
    "retrieved_at": "2026-11-01T14:49:46.231029+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}