The defendant moved for an order requiring the plaintiff to attend a neuropsychological defence medical examination in a motor vehicle accident action.
The plaintiff argued that the defendant required leave under Rule 48.04(1) of the Rules of Civil Procedure because the matter had already been certified for trial.
The court granted leave, finding that defence counsel’s mistaken understanding regarding the plaintiff’s willingness to attend the examination constituted a substantial or unexpected change in circumstances.
Applying the principles governing additional defence medical examinations, the court held that the examination was necessary to allow the defence physiatrist to finalize his opinion regarding the cause of the plaintiff’s cognitive impairments, particularly in light of a prior head injury and the plaintiff’s expert report.
The motion was granted and the plaintiff was ordered to attend the examination.