The Board granted an initial disability rating of 50 percent for migraines and denied an earlier effective date than April 27, 2023, for special monthly compensation based on the need for aid and attendance.
The deciding factor: The Veteran's migraines manifested in very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability, warranting a 50 percent rating. The evidence did not support an earlier effective date for SMC based on the need for aid and attendance prior to April 27, 2023.
- Claimed conditions
- migraines, multiple sclerosis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- 50%
- Decision date
- November 5, 2025
- Citation
- A25096438
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