Department of Neurology, Mayo Clinic, Jacksonville, FL 32224, USA.
Epilepsy Behav. 2012 Jan;23(1):30-5. doi: 10.1016/j.yebeh.2011.10.015. Epub 2011 Nov 22.
Motor vehicle accidents direct legislators to ensure pubic safety. We attempted to characterize and quantify driving risk in patients with seizures (PWS).
We delivered 12-question surveys to 287 consecutive PWS at an epilepsy clinic in Florida. Illegal and disobedient driving practices were analyzed.
Eighty-three of 236 (35.2%) PWS were eligible to drive and 62.3% were ineligible with a seizure in <6 months (P<0.001, 95% CI: 0.57-0.70). Among the ineligible responders, 23.8% (35/147) of ineligible responders were illegally driving (14.83% of cohort); 11.86% (28/236) of PWS were disobedient refusing to obey the law, and 8.9% (21/236) of PWS were defiant and knew the law. Sadness (75/236, 31.8%) was the most common reaction to restriction, but disobedient PWS were angry (10/28, 35.7%).
Overall, a small number of PWS are disobedient and illegally driving. A targeted approach to high-risk drivers with repeated verbal and supplemental driving information may help avoid unnecessary universal physician reporting for PWS.
机动车事故促使立法者确保公共安全。我们试图描述和量化癫痫患者（PWS）的驾驶风险。
我们向佛罗里达州一家癫痫诊所的 287 名连续 PWS 患者发放了 12 个问题的调查问卷。分析了非法和不遵守交通规则的驾驶行为。
236 名 PWS 中有 83 名（35.2%）有资格开车，62.3%（95%CI：0.57-0.70）在 6 个月内有癫痫发作而无资格开车。在无资格的应答者中，23.8%（35/147）的无资格应答者（占队列的 14.83%）非法驾驶；11.86%（28/236）的 PWS 不遵守法律，拒绝服从；8.9%（21/236）的 PWS 故意对抗，明知故犯。限制驾驶的最常见反应是悲伤（75/236，31.8%），但不遵守规定的 PWS 则感到愤怒（28/236，35.7%）。
总的来说，少数 PWS 不遵守规定且非法驾驶。针对高危驾驶员采取重复口头和补充驾驶信息的方法可能有助于避免对 PWS 进行不必要的普遍医生报告。
