Gómez-Talegón M T, Fierro I, Vicondoa A, Ozcoidi-Val M, Alvarez F J
Universidad de Valladolid, Facultad de Medicina, 47005 Valladolid, España.
Rev Neurol. 2007;45(9):526-31.
Drivers with a neurological pathology have a greater risk of involvement in traffic accidents than healthy drivers.
To evaluate the fitness to drive of drivers with a neurological or neuromuscular pathology.
5,234 drivers attending two Medical Driver Test Centres with the aim of carrying out a medical-psychological examination to obtain or renew their driving license were included in the study. Information was obtained concerning sociodemographic aspects, driving habits, the referred pathology and consumption of medicaments and alcohol.
1.4% of the drivers presented a neuromuscular or neurological pathology. The most frequent were muscular disorders of a neurological origin (32.5%), a history of cerebrovascular accidents (27%) and epilepsy (24.3%). 21.6% of the drivers were considered 'fit', 77.1% were 'fit with restrictions', and only 1.3% were considered 'unfit' to drive.
The great majority of drivers (98.7%) with a neurological pathology are considered 'fit' or 'fit with restrictions' to drive. Even though only a small percentage of divers with neurological pathologies are considered 'unfit' to drive, given their increased risk of involvement in traffic accidents, an early, individual evaluation of these patients' fitness to drive, taking into account the associated pathology, prescribed medication, consumption of alcohol and age, would seem necessary.
患有神经病理学疾病的驾驶员比健康驾驶员卷入交通事故的风险更高。
评估患有神经或神经肌肉病理学疾病的驾驶员的驾驶适宜性。
本研究纳入了5234名前往两个医学驾驶员测试中心进行医学心理检查以获取或更新驾驶执照的驾驶员。获取了有关社会人口学方面、驾驶习惯、所述疾病以及药物和酒精消费的信息。
1.4%的驾驶员患有神经肌肉或神经病理学疾病。最常见的是神经源性肌肉疾病（32.5%）、脑血管意外病史（27%）和癫痫（24.3%）。21.6%的驾驶员被认为“适宜驾驶”，77.1%“有条件适宜驾驶”，只有1.3%被认为“不适宜驾驶”。
绝大多数患有神经病理学疾病的驾驶员（98.7%）被认为“适宜驾驶”或“有条件适宜驾驶”。尽管只有一小部分患有神经病理学疾病的驾驶员被认为“不适宜驾驶”，但鉴于他们卷入交通事故的风险增加，考虑到相关疾病、处方药、酒精消费和年龄，对这些患者的驾驶适宜性进行早期的个体评估似乎是必要的。
