The Board denied increased ratings for various conditions but granted a 30 percent rating for left and right upper extremity weakness prior to November 13, 2024, and an earlier effective date of August 27, 2010, for total disability based on individual unemployability.

The deciding factor: The decision was based on the evidence not supporting higher ratings for most conditions but meeting criteria for a 30 percent rating for upper extremity weakness and an earlier TDIU effective date.

Claimed conditions

vascular Parkinsonism with sleep disturbance to include sleep apnea, left lower extremity weakness, right lower extremity weakness, loss of use of the bilateral lower extremities, left upper extremity weakness, right upper extremity weakness, loss of use of the bilateral upper extremities, voiding dysfunction, dysphagia, to include difficulty chewing and swallowing, erectile dysfunction (ED), loss of right side facial automatic movements, loss of left side facial automatic movements, speech changes

How they argued it

Direct service connection

Exposure basis

None

Rating assigned

None in this decision

Decision date

October 31, 2025

Citation

A25094898

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