Citation Nr: 0004670 Decision Date: 02/23/00 Archive Date: 02/28/00 DOCKET NO. 98-09 197 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Milwaukee, Wisconsin THE ISSUES Entitlement to service connection for a seizure disorder. REPRESENTATION Appellant represented by: Wisconsin Department of Veterans Affairs ATTORNEY FOR THE BOARD James A. Pritchett, Associate Counsel INTRODUCTION The veteran served on active duty from August 31, to September 22, 1961. This appeal arises from decisions by the Milwaukee, Wisconsin, Department of Veterans Affairs (VA) Regional Office (RO). Subsequent to the case being forwarded to the Board, the veteran submitted additional correspondence regarding a G.I. loan. It is not pertinent to this claim, and is referred to the RO for their review. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of the veteran's appeal has been obtained by the RO. 2. No current seizure pathology is shown to be related to service. CONCLUSION OF LAW The veteran has not submitted a well-grounded claim for service connection for a seizure disorder. 38 U.S.C.A. § 5107(a) (West 1991 & Supp. 1995). REASONS AND BASES FOR FINDINGS AND CONCLUSIONS A person claiming VA benefits must meet the initial burden of submitting evidence "sufficient to justify a belief in a fair and impartial individual that the claim is well grounded." 38 U.S.C.A. § 5107(a); Murphy v. Derwinski, 1 Vet. App. 78, 91 (1990); Gilbert v. Derwinski, 1 Vet. App. 49, 55 (1990). A claim that is well grounded is plausible, meritorious on its own, or capable of substantiation. Murphy, 1 Vet. App. at 81; Moreau v. Brown, 9 Vet. App. 389, 393 (1996). For purposes of determining whether a claim is well grounded, the Board presumes the truthfulness of the supporting evidence. Robinette v. Brown, 8 Vet. App. 69, 75 (1995); King v. Brown, 5 Vet. App. 19, 21 (1993). Factual Background The veteran entered active service in August 1961. A September 1961 treatment note states that he appeared to have fainted from lack of food and from prolonged standing. The diagnosis was hypotensive syncope and food was prescribed. The veteran was separated from service based on a September 1961 board of medical survey that found that the veteran had scoliosis that existed prior to entrance. Service medical records are silent for evidence of a seizure disorder. A March 1993 VA discharge summary noted that the veteran was in a motor vehicle accident when he jumped out of a moving car and struck his head against another car in December 1992. He denied loss of consciousness. He was discharged and subsequently developed delirium tremors. A seizure disorder was not noted. An August 1993 VA psychological evaluation included a history obtained from veteran indicating that he was in a prolonged coma following his December 1992 automobile accident. The examiner concluded that the veteran suffered from multifocal organic dysfunction more likely due to traumatic brain injury than to the effects of chronic alcoholism. No seizure disorder was noted. A letter received in October 1997 from the veteran's aunt states that he did not have seizures before service but did afterward. Department of corrections treatment records dated from April to June 1998 include an April 1998 treatment note that states that the veteran fell and hit the back of his head in December 1997. The veteran claimed that he had had a seizure the next morning and had been lurching since. The records are negative for a medical opinion linking any current seizure disorder to the veteran's active service. Analysis In order for a claim to be well-grounded, there must be competent evidence of a current disability (a medical diagnosis); of incurrence or aggravation of a disease or injury in service (lay or medical evidence); and of a nexus between the in-service injury or disease and the current disability (medical evidence). Epps v. Gober, 126 F.3d 1464 (1997); Caluza v. Brown, 7 Vet. App. 498, 504 (1995). Where the determinative issue involves a medical diagnosis, there must be competent medical evidence to the effect that the claim is plausible; lay assertions of medical status do not constitute competent medical evidence. Grottveit v. Brown, 5 Vet. App. 91, 93 (1993); Espiritu v. Derwinski, 2 Vet. App. 492, 494 (1992). In the instant case, there is no evidence of a seizure disorder in service or within a year following separation from service. Furthermore, there is no medical evidence or medical opinions that link the veteran's seizure disorder to his active service. The Board has considered the veteran's statements and that of his aunt. Although the veteran and his aunt are competent to provide an account of his symptoms, "the capability of a witness to offer such evidence is different from the capability of a witness to offer evidence that requires medical knowledge". Espiritu. However, there is no medical evidence or medical opinions linking any current seizure disorder to service. Therefore, the veteran's claim for service connection for a seizure disorder is not well grounded and must be denied. ORDER The appeal of the issue of entitlement to service connection for a seizure disorder is denied. RENÉE M. PELLETIER Member, Board of Veterans' Appeals