The Board has remanded the Veteran's claims for service connection for a neurological disorder and migraines due to further development being required. The issues include determining if Moyamoya disease is a congenital defect or disease, whether it was superimposed during service, and if there is clear and unmistakable evidence of preexistence or aggravation.
The deciding factor: The Board found that the Veteran's claims are inextricably intertwined with the determination of whether Moyamoya disease is a congenital defect or disease, and further development is needed to address these issues.
- Claimed conditions
- Moyamoya disease, Transient Ischemic Attack (TIA)
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 29, 2023
- Citation
- 23047624
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 23047624.
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.
- Granted
The Veteran's service-connected residuals of thrombosis, TIA or cerebral infarction (claimed as stroke) manifesting by weakness and tremor of the right upper extremity are rated at 40 percent.
- Denied
The Board denied the Veteran's request for an earlier effective date for service connection of Transient Ischemic Attack (TIA) due to the receipt of his claim on August 19, 2025.
- Granted
The Board has granted the Veteran's claim for service connection for residuals of a transient ischemic attack (TIA) as secondary to his service-connected supraventricular arrhythmia (SVT). The decision is based on medical evidence that links the TIA to the Veteran's atrial fibrillation, which is part of his service-connected SVT.
- Granted
The Veteran's service connection claim for Moyamoya disease is granted on a direct basis, with the condition being related to her in-service exposure to burn pits. The decision covers the entire period of appeal.
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