The Board granted a 30 percent evaluation for migraine headaches and migraine variant headaches, but denied an increased rating for TBI with benign positional vertigo. The claims for increased ratings for speech impairment involving the left and right tenth cranial nerves and right knee patellofemoral pain syndrome were remanded.

The deciding factor: The Veteran's TBI facets did not warrant a severity level greater than 10 percent, while his migraine headaches more nearly approximated characteristic prostrating attacks occurring on an average of once a month over the last several months.

Claimed conditions

Traumatic Brain Injury (TBI) with benign paroxysmal positional vertigo (BPPV), Migraines and migraine variant headaches, Speech impairment (including aphasia and dysarthria) involving the left tenth cranial nerve, Speech impairment (including aphasia and dysarthria) involving the right tenth cranial nerve, Right knee patellofemoral pain syndrome with a meniscal tear

How they argued it

Direct service connection

Exposure basis

None

Rating assigned

None in this decision

Decision date

December 11, 2025

Citation

A25106953

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