The Board has determined that the Veteran's Multiple System Atrophy (MSA) is related to his presumed exposure to herbicides, such as Agent Orange, during service in Vietnam. As a result, the claim for service connection for MSA is granted.
The deciding factor: The opinions provided by Drs. Kluger and Hamilton support the existence of a nexus between the Veteran's MSA and his presumed exposure to herbicides while on active duty in Vietnam.
- Claimed conditions
- Multiple System Atrophy (MSA)
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Agent Orange / herbicides
- Rating
- Not verified here — check the original decision
- Decision date
- October 3, 2014
- Citation
- 1444238
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 1444238.
What this means for you
A grant means the Board allowed the benefit or issue identified in this decision. Review the original order: other issues in the same appeal may have a different outcome, and this decision does not predict another claim.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Granted
The Veteran's Multiple System Atrophy (MSA) is determined to be related to his exposure to contaminated water at Camp Lejeune during service, and the claim for service connection is granted.
- Whole decision: Remanded (sent back)
The Board remands the claims for service connection for parkinsonism or Parkinson's disease and Multiple System Atrophy (MSA) to obtain additional medical opinions addressing their etiology, including whether they are related to in-service toxic exposures.
- Whole decision: Granted
The Veteran's service connection claim for Parkinsonism, including Multiple System Atrophy (MSA), associated with herbicide exposure is granted. The Board found that the Veteran had presumed in-service herbicide exposure and service connection is warranted on a presumptive basis.
- Whole decision: Granted
The Veteran's MSA and autonomic neuropathy are granted as secondary to his service-connected traumatic brain injury (TBI). He is also granted special monthly compensation for aid and attendance.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.