The Board has decided to remand the case due to insufficient evidence regarding whether the Veteran's obstructive sleep apnea is secondary to his service-connected PTSD with persistent depressive disorder. The VA will need to obtain a thorough opinion from an appropriate clinician addressing both causation and aggravation of the condition.
The deciding factor: The Board found that the existing medical opinions were inadequate, particularly in addressing the causation and aggravation prongs of secondary service connection as well as the Veteran's assertion that his PTSD caused him to become obese, which was a substantial factor in causing his sleep apnea.
- Claimed conditions
- Obstructive Sleep Apnea (OSA), Posttraumatic Stress Disorder (PTSD) with Persistent Depressive Disorder
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 21, 2023
- Citation
- A23037049
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 A23037049.
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 of entitlement to service connection for vertigo and obstructive sleep apnea (OSA) due to a pre-decisional duty to assist error. The Veteran's hearing loss is not rated higher than 10 percent.
- Remanded (sent back)
The Board has determined that the claims for service connection for OSA and insomnia must be remanded due to inadequate VA examinations and opinions, as well as a failure to obtain TERA opinions on all relevant exposures.
- Remanded (sent back)
The Board has decided to remand the Veteran's claims for an initial rating in excess of 50 percent for obstructive sleep apnea (OSA) and a separate rating for chronic pulmonary embolism due to inadequate VA examinations.
- Remanded (sent back)
The Board has remanded the case due to insufficient evidence regarding service connection for an acquired psychiatric disorder, including PTSD. The Veteran's lay statements and medical records are considered in determining whether there is a nexus between current symptoms and service.
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