ATA/255/1998•Causation of lumbar pain after accident in social insurance
ATA/255/1998Tribunal de Justiça / Câmara Administrativa5 de mai. de 1998Dismissed
Extraído pela Omnilex
The appellate court confirmed that the claimant's lumbar pain, including an arteriopathy, was no longer attributable to the July 1996 fall but had become a disease-related condition. It therefore upheld the termination of accident-related coverage and rejected the appeal.
LAA art. 36 para. 1; causal link between accident and lumbar complaints; once medical findings establish that later pain is of pathological origin and no longer accident-related, accident insurance benefits may cease. A mere prior accident does not suffice where the subsequent condition has detached itself from the original causal event (consid. not stated).
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; STATU QUO SINE; LESION DE LA COLONNE VERTEBRALE; LOMBALGIE; CAUSALITE; PREDISPOSITION; REPRISE; TRAVAIL; AM; ASSURANCE; INCAPACITE DE TRAVAIL; CURE DE CONVALESCENCE; COUVERTURE; ASSU
Normes
LAA.36 al.1
Résumé
Le TA a confirmé que les douleurs lombaires dont se plaint le recourant (dont une arthériopathie) sont d'origine maladive et non plus en relation de causalité avec la chute dont celui-ci a été victime en juillet 1996.
Extraído pela Omnilex
Whether the appellant's lumbar pain and related condition remained causally linked to the accident.
The court held that the lumbar complaints were of pathological origin and no longer in causal relation to the accident.
The medical situation showed that the later lumbar pain, including the arteriopathy, had become independent of the accident; the required causal link had ceased.
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