Hasegawa S, Kumagai K, Kaji S
National Epilepsy Center, Teradomari Hospital, Niigata, Japan.
Jpn J Psychiatry Neurol. 1991 Jun;45(2):327-31. doi: 10.1111/j.1440-1819.1991.tb02481.x.
From results of a survey of 72 epileptic car drivers who had a mean driving history of 8.6 years, 18 (25%) had experienced one or more automobile accidents ascribed to a seizure while driving, with the total number of accidents of the surveyed group amounting to 35. All the drivers were known to have partial epilepsy, 13 of them having temporal lobe epilepsy. The main characteristics of these 35 accidents were as follows: (1) Fifty-seven percent were caused by complex partial seizure without an aura in which consciousness was immediately impaired at onset, while about 10% were attributed to simple partial seizure in which the conscious state was not altered. No accident was caused by a first seizure; (2) Fifty-one percent occurred on an empty road with little pedestrian and/or vehicular traffic; (3) In about half the accidents, the driver's vehicle collided against an immovable object, and only 20% involved crashing into another car; (4) Most accidents caused damage to only the driver's car and/or mild physical injury; and (5) Fifty-four percent of the accidents were not reported to the police, and many that were reported were ascribed to driving while asleep, to careless driving or to similar behavior.
在一项对72名癫痫症汽车司机的调查中，这些司机的平均驾驶年限为8.6年，其中18人（25%）在驾车时因癫痫发作经历过一次或多次汽车事故，被调查群体的事故总数达35起。所有司机均为部分性癫痫，其中13人患有颞叶癫痫。这35起事故的主要特征如下：（1）57%的事故由无先兆的复杂部分性发作引起，发作时意识立即受损，约10%的事故归因于意识状态未改变的简单部分性发作。没有事故是由首次发作引起的；（2）51%的事故发生在行人及/或车辆稀少的空旷道路上；（3）约半数事故中，司机的车辆与固定物体相撞，只有20%的事故涉及撞上另一辆车；（4）大多数事故仅造成司机车辆损坏和/或轻度身体伤害；（5）54%的事故未向警方报告，许多报告的事故被归因于驾车时睡着、粗心驾驶或类似行为。
