The Board has remanded the claims for service connection for Chiari malformation, obstructive sleep apnea, and narcolepsy due to inadequate medical opinions regarding their etiology. The Veteran's Chiari malformation claim is being remanded again for an addendum opinion addressing whether it was aggravated by his service-connected disabilities, specifically headaches. The obstructive sleep apnea and narcolepsy claims are also being remanded for additional medical opinions considering the potential intermediate step of obesity caused or aggravated by service-connected disabilities.
The deciding factor: The Board found that the previous medical opinions were inadequate due to insufficient consideration of aggravation and lack of consideration of obesity as an intermediary factor in causing the Veteran's sleep apnea and narcolepsy.
- Claimed conditions
- Chiari malformation, Obstructive sleep apnea, Narcolepsy
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 19, 2021
- Citation
- 21030468
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. Look up the original decision on VA.gov (opens in a new tab) using citation 21030468.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board has remanded the claims for service connection due to a duty to assist error, specifically regarding whether the Veteran's current conditions are aggravated by his service-connected DDD of the lumbosacral spine. The AOJ is required to obtain new medical opinions addressing this issue.
- Remanded (sent back)
The Board has denied the Veteran's claims for initial compensable ratings for obstructive sleep apnea and headaches, finding that the evidence does not support a finding of persistent daytime hypersomnolence or other manifestations consistent with a compensable disability rating under the criteria established by Diagnostic Codes. The matter is remanded to obtain additional information from the Veteran regarding his headaches and their impact on his daily life.
- Granted
The Board has granted the Veteran's claim for service connection of obstructive sleep apnea as secondary to his service-connected residuals of left foot 5th metatarsal fracture.
- Granted
The Veteran's claim for an earlier effective date for service connection of obstructive sleep apnea has been granted, with the effective date set at June 25, 2019.
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