Tumors
Tumors arising from the brain parenchyma such as gliomas or ependymomas, even when removed and
whether or not they are treated with a radiotherapy, leave behind scarring. This increases the probability
of seizures and applicants with such a history are therefore permanently unfit.
Meningiomas
Applicants who have had meningiomas of the cerebral convexities may be considered fit two years
post resection under certain specific circumstances. Current literature suggests that there is no limit as to
when a meningioma can recur. The tumor must have been fully removed as defined by repeated
neuroimaging. There should be no neurological sequelae and no history of seizures in association
with the tumor. If a medical certification is granted a repeat EEG and CT scan must be done at yearly
intervals.
Infratentorial Meningiomas, Acoustic Neuromas, Pituitary Tumors and other Benign Extra-axial
Tumors
Applicants who have had complete resection of an infratentorial meningioma, acoustic neuroma or other
benign extra axial tumors, or applicants who have had a transphenoidal complete resection of a pituitary
tumor and have no neurological or endocrinological sequelae and no history of seizures may be relicenced
after 6 months to one year. They will require yearly neurological and endocrinological follow-up.
Those who have had an elevation of the frontal lobes in order to approach the pituitary tumor are generally
unfit. This is because the tumor is probably larger and more likely to disturb structures around it and the
frontal lobe has been disturbed by the traction involved in the surgery. These factors increase the
chance of the applicant developing seizures.
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