The Board remands the claims for an initial compensable rating for residual Lyme disease infection with Bell's palsy and a rating in excess of 30 percent for sleep disturbances as a result of Lyme disease associated with residual Lyme disease infection with Bell's palsy to correct a pre-decisional duty to assist error.
The deciding factor: Remand is necessary due to the need for an appropriate cranial nerves VA examination to determine current symptomatology related to Bell's palsy, which could impact the outcome of the claim for an increase rating for sleep disturbances as a result of Lyme disease associated with residual Lyme disease infection with Bell's palsy.
- Claimed conditions
- Residual Lyme disease infection with Bell's palsy, Sleep disturbances as a result of Lyme disease associated with residual Lyme disease infection with Bell's palsy
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 22, 2025
- Citation
- A25110107
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