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Traumatic injury involving the brain or spinal cord or cauda equina

Document
Last amended 
16 June 2015

Erectile dysfunction - Traumatic injury involving the brain, spinal cord or cauda equina Factor

The SoP factor for erectile dysfunction requires the traumatic injury to result “in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina”.

Medical advice is essential to establish the presence of a traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, and to establish the cause of the injury.

Traumatic injury could include a blunt impact, penetrating wound or surgery.  Some injuries may allow for almost complete recovery.  Examples neurological sequelae are quadriplegia, paraplegia, various degrees of muscle weakness, and motor and sensory deficits.

The spinal cord ends near the first lumbar vertebra and continues through the vertebral canal as spinal nerves. Because of its resemblance to a horse's tail, the collection of these nerves at the end of the spinal cord is called the cauda equina. These nerves send and receive messages to and from the lower limbs and pelvic organs.

Last reviewed for CCPS 5 October 2005.

Investigative Documents
Type Title PDF Format Word Format
Medical Report
Traumatic Injury to the Brain, Spinal Cord or Cauda Equina - Erectile Dysfunction
MR9183.pdf
MR9183.docx
Preliminary questions [23134]

23193 there is some evidence that a traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina may be a factor in the development or worsening of the condition under consideration.

23135 the veteran has experienced a traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina at some time.

35379  the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and VEA service for erectile dysfunction.

23136 the veteran experienced a traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset of the condition under consideration.

23140   the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and VEA service for the clinical onset of erectile dysfunction.

23141  the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and operational service for the clinical onset of erectile dysfunction.

or

23142  the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and eligible service for the clinical onset of erectile dysfunction.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

35383 the veteran experienced a traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration.

35380   the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and VEA service for the clinical worsening of erectile dysfunction.

35381  the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and operational service for the clinical worsening of erectile dysfunction.

or

35382  the veteran has established the causal connection between a traumatic injury to the brain, spinal cord or cauda equina and eligible service for the clinical worsening of erectile dysfunction.

Clinical onset and operational service [23141]

23137 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical onset of the condition under consideration was caused by an injury.

23143 on operational service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset of the condition under consideration.

23144 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina on operational service within the 90 days immediately before the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

27401  the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset or worsening of the condition under consideration was due to an illness or injury which is identifiable.

23145 the injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset of the condition under consideration was due to an illness or injury which is identifiable.

23146  the identified illness or injury which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina is causally related to operational service.

or

23139 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical onset of the condition under consideration was caused by surgery.

23151  the surgery, which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, within the 90 days immediately before the clinical onset of the condition under consideration, was performed for an illness or injury which is identifiable.

Clinical onset and eligible service [23142]

23137 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical onset of the condition under consideration was caused by an injury.

23147 on eligible service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset of the condition under consideration.

23148 as a causal result of eligible service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset of the condition under consideration.

23149 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina on eligible service within the 90 days immediately before the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

27401  the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset or worsening of the condition under consideration was due to an illness or injury which is identifiable.

23145 the injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset of the condition under consideration was due to an illness or injury which is identifiable.

23150  the identified illness or injury which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina is causally related to eligible service.

or

23139 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical onset of the condition under consideration was caused by surgery.

23151  the surgery, which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, within the 90 days immediately before the clinical onset of the condition under consideration, was performed for an illness or injury which is identifiable.

Clinical worsening and operational service [35381]

35388 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical worsening of the condition under consideration was caused by an injury.

35390 on operational service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration.

35391 as a causal result of operational service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration.

35392 the clinical onset of the condition under consideration occurred prior to the veteran experiencing the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina on operational service.

35393 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina on operational service within the 90 days immediately before the clinical worsening of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

27401  the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset or worsening of the condition under consideration was due to an illness or injury which is identifiable.

35398 the injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration was due to an illness or injury which is identifiable.

23146  the identified illness or injury which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina is causally related to operational service.

35400 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, is causally related.

or

35389 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical worsening of the condition under consideration was caused by surgery.

35399  the surgery, which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, within the 90 days immediately before the clinical worsening of the condition under consideration, was performed for an illness or injury which is identifiable.

Clinical worsening and eligible service [35382]

35388 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical worsening of the condition under consideration was caused by an injury.

35394 on eligible service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration.

35395 as a causal result of eligible service, the veteran experienced the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration.

35396 the clinical onset of the condition under consideration occurred prior to the veteran experiencing the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina on eligible service.

35397 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina on eligible service within the 90 days immediately before the clinical worsening of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

27401  the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical onset or worsening of the condition under consideration was due to an illness or injury which is identifiable.

35398 the injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina within the 90 days immediately before the clinical worsening of the condition under consideration was due to an illness or injury which is identifiable.

23150  the identified illness or injury which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina is causally related to eligible service.

35401 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, is causally related.

or

35389 the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina which the veteran experienced within the 90 days immediately before the clinical worsening of the condition under consideration was caused by surgery.

35399  the surgery, which caused the traumatic injury resulting in acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina, within the 90 days immediately before the clinical worsening of the condition under consideration, was performed for an illness or injury which is identifiable.