The Board granted service connection for abnormal brain MRI (bilateral basal ganglia lesions, ventriculomegaly, and moderate atrophy) with REM behavior sleep disorder due to exposure to contaminated drinking water at Camp Lejeune. The essential tremors claim was remanded.
The deciding factor: The July 2024 VA examiner provided a mixed nexus opinion supporting the connection between the abnormal brain MRI findings and service, including exposure to contaminated drinking water at Camp Lejeune.
- Claimed conditions
- abnormal brain MRI (bilateral basal ganglia lesions, ventriculomegaly, and moderate atrophy) with REM behavior sleep disorder, essential tremors, claimed as Parkinson's Disease
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Camp Lejeune water
- Rating assigned
- None in this decision
- Decision date
- April 2, 2025
- Citation
- A25030264
What this means for you
A partial grant means some issues were granted while others were denied or remanded — common in multi-issue claims. Look at which issues went which way, and how each was argued.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the claim for essential tremors to correct errors in fulfilling the duty to assist, specifically related to an inadequate examination and opinion.
- Remanded (sent back)
The Board remands the claim for essential tremors to obtain an addendum VA medical opinion addressing the etiology of the condition, including its potential relation to service and secondary causes.
- Partly granted
The Board denied service connection for chronic fatigue syndrome, fibromyalgia, and a skin disability but granted service connection for left lower extremity radiculopathy (sciatica) as secondary to service-connected lumbar strain and an initial 10 percent disability rating for essential tremors.
- Granted
The Board granted service connection for essential tremors, resolving reasonable doubt in favor of the Veteran.
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