External
Repatriation Medical Authority Statement

Cluster headache - Treatment with nitroglycerine or acetazolamide Factor

Last reviewed for CCPS 25 April 2000.

Investigative Documents

Medical Report - Cluster Headache Syndrome - Drug Treatment [MR9238]

Preliminary questions [29853]

29857

there is some evidence that undergoing treatment with nitroglycerine or acetazolamide may be a factor in the worsening of the condition under consideration.

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.

29858

the veteran has undergone treatment with nitroglycerine or acetazolamide at some time.

29859

the veteran was undergoing treatment with nitroglycerine or acetazolamide, at the time of the clinical worsening of the condition under consideration.

30077

the veteran was undergoing treatment with nitroglycerine or acetazolamide, at the time of the clinical worsening of the condition under consideration, for an illness or injury which is identifiable.

29860

the treatment with nitroglycerine or acetazolamide for the identified illness or injury at the time of the clinical worsening of the condition under consideration was able to be ceased or substituted.

29861the veteran has established the causal connection between the treatment with nitroglycerine or acetazolamide and VEA service for the clinical worsening of the condition under consideration.

29862the veteran has established the causal connection between the treatment with nitroglycerine or acetazolamide and operational service for the clinical worsening of the condition under consideration.

or

29863the veteran has established the causal connection between the treatment with nitroglycerine or acetazolamide and eligible service for the clinical worsening of the condition under consideration.

Clinical worsening and operational service [29862]

29864the identified illness or injury for which the treatment with nitroglycerine or acetazolamide was undergone is causally related to operational service.

29875

the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury for which the treatment with nitroglycerine or acetazolamide was undergone is causally related.

Clinical worsening and eligible service [29863]

29865the identified illness or injury for which the treatment with nitroglycerine or acetazolamide was undergone is causally related to eligible service.

29876

the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury for which the treatment with nitroglycerine or acetazolamide was undergone is causally related.