Epilepsy and Car-Driving

Phemister, Jennifer

doi:10.1016/s0140-6736(61)92782-9

Cited by 20 publications

(6 citation statements)

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“…Noncompliance with legal restrictions on driving with seizures is a major problem. Indeed, most individuals with seizures who drive never reveal their disorder to authorities, despite specific requirements for reporting seizures (Phemister and Edin, 1961;van der Lugt, 19756;Harvey and Hopkins, 1983;Edeh, 1985). The magnitude of noncompliance may in part explain why harsh legal restrictions on driving with seizures have not been very successful in preventing accidents.…”

Section: Noncompliance With Legal Standardsmentioning

confidence: 99%

Driving and Epilepsy: A Historical Perspective and Review of Current Regulations

Krumholz

1994

Epilepsia

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Historically, persons with seizures or epilepsy have been prohibited from driving automobiles or motor vehicles because of concern for public safety. Seizures have a tendency to recur and pose risks of traffic accidents, property damage, and personal injury. In our modern world, however, driving an automobile is such an economic and social necessity that a conflict results between our need to protect public safety and our responsibility to provide reasonable opportunities to drive for persons handicapped by seizures and epilepsy. Currently, there is a trend toward liberalization of driving standards for persons with epilepsy, but there is still considerable controversy regarding the specific driving restrictions necessary for persons with seizures, the way in which such policies should be administered, and the role physicians should have in the process.

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Section: Noncompliance With Legal Standardsmentioning

confidence: 99%

Driving and Epilepsy: A Historical Perspective and Review of Current Regulations

Krumholz

1994

Epilepsia

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“…Despite the restrictions of law, approximately 19.5% of PWE still drive illegally in China [8]. This is because cars are important as a commuting method, and the ability to drive impacts patients' social and working life tremendously [5,9,10]. Therefore, we need to maintain a balance between patient safety and quality of life [11].…”

Section: Introductionmentioning

confidence: 99%

Individual prediction of motor vehicle accidents for patients with epilepsy

Lin

Chen

et al. 2021

Epilepsy & Behavior

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The objective of the study was to design a clinically useful tool to predict the risk of seizure-related motor vehicle accidents (MVAs) for people with epilepsy (PWE).Participants were patients who visited our epilepsy center in West China Hospital from October 2012 to October 2019 and were divided into a primary cohort and a validation cohort. Ultimately, we included 525 patients in the primary cohort and 86 patients in the validation cohort. Proportional hazard regression was performed to measure the prognostic factors of car accidents. The outcome was used to create a nomogram model. The final model had 7 factors, with a C-index of 0.85 (95% CI, 0.80-0.91), to predict the possibility of non-MVA for PWE. For the validation cohort, the C-index was 0.83 (95% CI, 0.72-0.95).This nomogram model can offer more individualized advice to PWE who are still driving by estimating the risk of car accidents.

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“…First, many patients do not abide by their driving restrictions [10,11]. Patients may see driving bans as unfair and may fail to report seizures to their physicians and/or motor vehicle authorities.…”

Section: Introductionmentioning

confidence: 99%

A prospective study of loss of consciousness in epilepsy using virtual reality driving simulation and other video games

Yang

Morland

Schmits

et al. 2010

Epilepsy & Behavior

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Patients with epilepsy are at risk of traffic accidents when they have seizures while driving. However, driving is an essential part of normal daily life in many communities, and depriving patients of driving privileges can have profound consequences for their economic and social well being. In the current study, we collected ictal performance data from a driving simulator and two other video games in patients undergoing continuous video/EEG monitoring. We captured 22 seizures in 13 patients and found that driving impairment during seizures differed both in terms of magnitude and character, depending on the seizure type. Our study documents the feasibility of the prospective study of driving and other behaviors during seizures through the use of computerbased tasks. This methodology may be applied to further describe differential driving impairment in specific types of seizures and to gain data on anatomical networks disrupted in seizures that impair consciousness and driving safety.

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Epilepsy and Car-Driving

Cited by 20 publications

References 0 publications

Driving and Epilepsy: A Historical Perspective and Review of Current Regulations

Driving and Epilepsy: A Historical Perspective and Review of Current Regulations

Individual prediction of motor vehicle accidents for patients with epilepsy

A prospective study of loss of consciousness in epilepsy using virtual reality driving simulation and other video games

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