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8020
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Brain abscess

A collection of pus in the brain caused by infection that may cause headaches, fever, and neurological symptoms.

What the rating means

VA rates brain abscess under diagnostic code 8020. While the abscess is active, the rating is 100%. Once the active disease resolves, VA rates any remaining problems — called residuals — at a minimum of 10%. Residuals can include a wide range of lasting effects on the brain and nervous system. Depending on what symptoms remain, VA may rate them under the evaluation criteria for cognitive impairment and other residuals of traumatic brain injury, which cover areas such as memory and concentration, judgment, social interaction, orientation, motor activity, visual-spatial ability, subjective symptoms, neurobehavioral effects, communication, and consciousness. Each of those areas has its own scale, and the ratings across them are combined to reach a final disability rating. Residuals may also be rated as diseases of the cranial or peripheral nerves, or as epilepsy, if those conditions result from the abscess.

Evidence that helps

For the 100% active-disease rating, medical records confirming that a brain abscess is currently present and under treatment are the core evidence. For residual ratings, the evidence depends on which symptoms remain. Neuropsychological or cognitive testing that shows objective impairment in memory, attention, concentration, or executive functions supports higher ratings in those areas; a complaint alone without test findings supports a lower level. Records documenting how often you become disoriented, how your judgment holds up in routine versus unfamiliar decisions, or how frequently your social behavior is inappropriate all tie directly to the criteria. For subjective symptoms, records or personal statements describing how headaches, dizziness, fatigue, or sensory sensitivities interfere with work or daily activities are relevant. For neurobehavioral effects such as irritability or aggression, statements from family members, coworkers, or treating providers describing how often those effects disrupt work or social interaction can help show the level of impairment.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.