Evidence Checklist: Stroke Residuals (Cerebrovascular Accident)

Brain MRI or CT showing infarct or hemorrhageCritical

Neuroimaging documenting the location and size of the stroke lesion. The affected brain region correlates with specific neurological deficits for rating purposes.

Nexus opinion linking stroke to service or service-connected conditionCritical

Medical opinion connecting your stroke to service-connected hypertension, atrial fibrillation, diabetes, or a direct in-service cerebrovascular event.

Functional assessment documenting stroke residuals (modified Rankin, Barthel)Critical

Physiatrist or neurologist evaluation documenting residual deficits using standardized scales (modified Rankin Scale, Barthel Index) covering hemiplegia, aphasia, cognitive impairment, and ADL limitations.

Speech-language pathology evaluation (if aphasia or dysphagia present)

Formal assessment of language function (aphasia type and severity) and swallowing safety if stroke involved language or swallowing centers.

Inpatient rehabilitation and outpatient therapy records

Records from acute inpatient rehabilitation, outpatient physical therapy, occupational therapy, and speech therapy documenting functional gains and remaining deficits.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Stroke (Cerebrovascular Accident)Critical

VA standardized form for stroke residuals capturing motor deficits, cognitive changes, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.