M29-1, Part 5, N



N

NARCOLEPSY

This is a disorder of the sleep center, characterized by short recurrent daytime episodes of irresistible sleep.

Underwriting Requirements

An APS (VA Form 29-8158) is required.

|Present |0 |

|Others |Refer to Section Chief |

NEURALGIA AND NEURITIS

(Radiculitis)

Neuralgia is a sharp, stabbing pain along the path of a nerve, noninflammatory. Neuritis is an inflammation of a nerve, which may be characterized by neuralgia, loss of sensation, restriction of motion, and occasionally muscular wasting. It may be localized and affect a single nerve trunk or generalized and involve many nerves. For purposes of rating no distinction is made between the two conditions.

Frequent causes are injury, exposure to cold, pressure, and focal infections as from the teeth and tonsils. Vitamin deficiencies, syphilis, chronic alcoholism, lead, arsenic and other poisons may cause persistent and disabling neuralgia and neuritis. With involvement of left arm, shoulder or chest at ages over 40, consider the possibility of angina pectoris.

Underwriting Requirements

An APS (VA Form 29-8158) is required if not adequately described.

|Mild or Moderate |0 |

|Frequent or severe | |

| Within 1 year |40 |

| Within 2 years |25 |

| Within 3 years |0 |

NEUROFIBROMATOSIS

(Neurofibroma, Neuroma and Neurilemmoma, Neurinoma)

A neurofibroma is a benign tumor of nerve tissue occurring most commonly in the skin. Neurofibromatosis is a syndrome characterized by multiple nerve tumors and characteristic skin changes, and, in a small percentage of cases, by mental deficiency, seizures, musculoskeletal abnormalities, hypertension or pheochromocytoma.

Underwriting Requirements

An APS (VA Form 29-8158) is required. Ratings will vary widely from no debits to rejection in unusually complicated cases.

|Neurofibroma | |

| Present | |

| Single or multiple neurofibromas, no change in 3 years, asymptomatic |0 |

| Others |55-0 |

| History, removed surgically, after recovery |0 |

| | |

|Neurofibromatosis |R-30 |

| |Refer to Section Chief |

NOSE BLEED

Bleeding from the nose (epistaxis) is most commonly due to injury but may accompany ulceration, inflammation, or tumor formation in the nasal passages. It is sometimes a symptom of acute contagious disease, such as typhoid fever, influenza, measles, and undulant fever. Severe, prolonged or recurrent attacks may be due to various anemias and other blood disorders. At older ages, hypertension is a common cause.

Underwriting Requirements

Isolated attacks, due to trauma or varicosity of nasal mucosa may be disregarded. For others, obtain an APS (VA Form 29-8158).

|Due to injury |0 |

|Others |RFC |

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