Noncompliance of patients with driving restrictions due to uncontrolled epilepsy

Epilepsy & Behavior : E&B
Laurent M WillemsAdam Strzelczyk

Abstract

Epilepsies are a common and chronic neurological disorder characterized by sustained risk of recurrent seizures. Because of paroxysmal and often unpredictable occurrence of seizures, patients with uncontrolled epilepsy are subject to disease-specific restrictions in daily life, such as their career choice or specific work limitations. According to German law and many other European and international guidelines, driving is strictly prohibited in patients with uncontrolled epilepsy so as to increase active and passive safety in public road traffic. Nevertheless, a significant percentage of patients probably do not comply with these legal restrictions and drive on a regular basis. For this study, we analyzed a representative German cohort with 302 patients (mean age: 45.0 years ± 16.4; 48% male) with established epilepsy to identify the number of patients driving without permission. Overall, 58.6% (n = 177) of patients had a driving license, 71.1% (n = 69/97) of patients were in seizure remission, and 52.7% (n = 108/205) of patients had uncontrolled epilepsy. Among patients in seizure remission, 54.6% (n = 53/97) reported regular driving while, among patients with uncontrolled epilepsy, 15.1% (n = 31/205) reported driving on a reg...Continue Reading

Citations

Oct 13, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·René Danilo VerboketLaurent Maximilian Willems
Aug 7, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·René D VerboketLaurent M Willems
Feb 18, 2020·Seizure : the Journal of the British Epilepsy Association·Takuji NishidaHisateru Tachimori

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