The Board denied increased ratings for Parkinsonism and CAD, but granted SMC based on the loss of use of the hands and need for regular aid and attendance.
The deciding factor: The evidence did not support a finding of severe or complete paralysis in either upper extremity, nor was there sufficient evidence to establish separate service connection for mental manifestations associated with Parkinsonism. The Veteran's CAD was rated based on ongoing medication management.
- Claimed conditions
- Parkinsonism with right upper extremity bradykinesia, tremors, and muscle rigidity, Left upper extremity bradykinesia, tremors, and muscle rigidity, Mental manifestations of depression and cognitive impairment associated with Parkinsonism, Coronary artery disease (CAD)
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 18, 2025
- Citation
- A25109361
Veterans Law Judge
Decisions by this judge: 1,828 · Granted: 32% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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 A25109361.
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 Veteran's current coronary artery disease with acute, subacute, or old myocardial infarction with coronary stent is being remanded for further evaluation due to the lack of a medical nexus between his service-connected hypertension and his heart condition.
- Denied
The Board denied the Veteran's claim for SMC based on aid and attendance from June 1, 2011, to May 24, 2017, finding that his need for regular aid and attendance was not established during this period.
- Denied
The Veteran's service connection claims for coronary artery disease and obstructive sleep apnea have been denied as there is no evidence of a nexus between the conditions and his military service.
- Remanded (sent back)
The Board has found new and relevant evidence for the claims of service connection for coronary artery disease (CAD) and an acquired psychiatric disorder. The AOJ is required to readjudicate these claims, taking into consideration all submitted evidence.
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