The Board has remanded the Veteran's claims for service connection for quadriparesis due to idiopathic peripheral neuropathy in all four extremities. The issues are related to his service-connected sick sinus syndrome and superior vena cava syndrome, but there is conflicting medical evidence regarding the cause of the quadriparesis.
The deciding factor: The Board found that the current opinions provided by both a private provider and a VA examiner were inadequate and requested an additional opinion from a neurologist to reconcile the contradictory opinions and provide a complete rationale.
- Claimed conditions
- right upper extremity idiopathic peripheral neuropathy, left upper extremity idiopathic peripheral neuropathy, left lower extremity idiopathic peripheral neuropathy, right lower extremity idiopathic peripheral neuropathy
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 5, 2023
- Citation
- 23048366
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 23048366.
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 Veteran's bilateral lower extremity neuropathy is being remanded due to the need for additional evidence and a medical opinion regarding its etiology. The claims are related to Agent Orange exposure during service in Vietnam.
- Granted
The Board granted an effective date of June 13, 2014, for the award of service connection for bilateral upper and lower extremity idiopathic peripheral neuropathy.
- Remanded (sent back)
The Board has remanded the Veteran's claims for service connection for bilateral upper and lower extremity idiopathic peripheral neuropathy, as these conditions are presumed to be associated with herbicide exposure. The VA will obtain additional medical opinions to determine if there is a link between the Veteran's current diagnoses and his active service.
- Denied
The Board denied the veteran's claims for increased ratings for his service-connected lumbar myositis, psychoneurosis and conversion hysteria, residuals of shrapnel wounds of the left thigh and pelvis with retained foreign bodies and scars, and residuals of shell fragment wounds of the right thigh and left leg. The veteran was also denied entitlement to a total disability rating based on individual unemployability due to service-connected disabilities.
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