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8) Associated abscess or meningitis.
9) Cerebrospinal fluid rhinorrhea or otorrhea persisting more than 7 days.
10) Penetrating brain injury to include radiographic evidence of retained foreign body
or bony fragments secondary to the trauma and/or operative procedure in the brain.
23.9 History of moderate head injury.
1) Moderate head injuries are defined as:
a. Unconsciousness of more than 30 minutes but less than 24 hours, or
b. Amnesia, or disorientation of person, place, or time, alone or in combination,
more than 24 hours but less than 7 days duration post-injury, or
c. Linear skull fracture.
2) After 12 months post-injury, individuals may be qualified if neurological
examination shows no residual dysfunction or complications such as a seizure
disorder and if no anti-seizure medications have been prescribed.
23.10 History of mild head injury.
1) Mild head injury is defined as:
a. Unconsciousness of less than 30 minutes post-injury.
b. Amnesia or disorientation of person, place, or time, alone or in combination, of
less than 24 hours post-injury.
2) After 1-month post-injury, individuals may be qualified if neurological examination
shows no residual dysfunction or complications.
23.11 History of persistent post-concussive symptoms that interfere with normal activities or
have duration of more than 1 month. 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.
23.12 Current or history of infectious processes of the central nervous system, including but
not limited to meningitis, encephalitis, neurosyphilis, or brain abscess, if occurring
within 1 year before examination, required surgical treatment, or if there are residual
neurological defects.
23.13 Current or history of paralysis, weakness, lack of coordination, chronic pain (including
but not limited to chronic regional pain syndrome or neuralgias), or sensory
disturbance or other specified paralytic syndromes, including but not limited to
Guillain-Barre Syndrome.
23.14 Any seizure occurring beyond the 6th birthday. However, if the individual has been
free of seizures for a period of 5 years while taking no medication for seizure control, or