Do I Need a Check-Up Before Military Service After Epilepsy? - Neurology

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Dear Dr.
Lai,
I would like to ask you some questions.
I am a graduate student who will be graduating this year.
When I was in the fifth and sixth grades, I was diagnosed with epilepsy after undergoing a CT scan at Taichung Hospital.
I had a few seizures at that time, but after being controlled with medication, I have not had any seizures since graduating from elementary school and have not taken any medication or undergone related treatment.
To this day, I have not experienced any seizures, but I occasionally have symptoms such as headaches, dizziness, or nausea, which may be due to irregular sleep patterns or stress.
As I am about to graduate and enlist in the military, I would like to know if, based on my medical history, I need to return to the hospital for a re-examination before enlistment.
I sincerely appreciate your response.
Wishing you good health and happiness.

Tongxue, 20~29 year old female. Ask Date: 2004/06/24

Dr. Lai Lunxiang reply Neurology


Of course, it's best to get checked.

Reply Date: 2004/06/24

More Info


When considering military service after a history of epilepsy, it is crucial to understand the implications of your medical history and the potential need for a check-up before enlistment. Given your background of having been diagnosed with epilepsy during your elementary school years, even though you have not experienced any seizures since then, it is advisable to consult with a neurologist or your primary care physician before entering military service.

Epilepsy is a neurological disorder characterized by recurrent seizures, and the military has specific medical standards regarding individuals with this condition. Generally, if you have a history of epilepsy, especially if you have had seizures in the past, military regulations may require you to provide documentation of your medical history and current health status. This documentation typically includes a thorough evaluation by a neurologist, who can assess whether your condition is well-controlled and whether you are at risk of future seizures.

In your case, since you have not had any seizures since childhood and have not been on medication for epilepsy, it is essential to have a medical evaluation to confirm your current health status. A neurologist can conduct a comprehensive assessment, which may include a physical examination, a review of your medical history, and possibly imaging studies or an EEG (electroencephalogram) to ensure that there are no underlying issues that could predispose you to seizures in the future.
Additionally, the symptoms you mentioned—occasional headaches, dizziness, and nausea—could be related to various factors, including stress or irregular sleep patterns. These symptoms should also be evaluated by a healthcare professional to rule out any other potential neurological or medical issues that could affect your ability to serve in the military.

It is also worth noting that military service can be physically and mentally demanding, and any underlying health conditions should be addressed prior to enlistment. If your neurologist determines that you are fit for service and that your epilepsy is well-controlled, you may be able to proceed with your enlistment. However, if there are concerns about your health, it may affect your eligibility for military service.

In summary, it is highly recommended that you schedule a check-up with a neurologist before your military service. This will not only provide you with peace of mind but also ensure that you meet the medical requirements for enlistment. Your health and safety should be the top priority, and having a thorough evaluation will help you make informed decisions regarding your future in the military.

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