Epilepsy Unit, Department of Neurological Sciences, Sapienza University of Rome, Italy.
Epilepsy Behav. 2012 Sep;25(1):32-5. doi: 10.1016/j.yebeh.2012.07.001. Epub 2012 Aug 17.
Seizures represent a potential source of accidents/death. Permission to drive may, therefore, be granted in a seizure-free period. Laws and regulations regarding this issue vary widely, and the onus of reporting seizures ultimately rests on the individual. Unfortunately, as some patients are unaware of their seizures, their reports may be unreliable.
In this retrospective study, we selected, from a group of 1100 consecutive patients, 57 cases (26 males/31 females; mean age: 42.5 years) in whom the AEEG documented ictal events (UIEs) not reported in a self-kept diary. By means of a simple questionnaire, we interviewed all these patients to collect information on driving licenses. We, thus, assessed how many of these patients (both drug resistant and seizure free) drove regularly.
Our study shows a relatively large number of patients with epilepsy and UIEs. Fifteen patients suffered from idiopathic generalized epilepsy (IGE) while 42 had partial epilepsy (PE). The patients were seizure free in 21 cases and 36 had drug-resistant seizures. Many patients in both these subgroups had a driving license and drove normally (active driving in 12/36 drug-resistant patients and in 18/21 seizure-free patients). Worthy of note is the finding that an "apparently" seizure-free group of patients drove regularly.
This study revealed a large number of patients (both drug resistant and seizure free) with AEEG-documented UIEs. This finding highlights the usefulness of AEEG in clinical practice as a means of more accurately ascertaining seizure freedom and supporting decisions involving the renewal or granting of a driving license.
癫痫发作可能导致意外/死亡。因此，在无癫痫发作期间可能会允许驾驶。关于这个问题的法律和法规差异很大，报告癫痫发作的责任最终落在个人身上。不幸的是，由于一些患者不知道自己的癫痫发作，他们的报告可能不可靠。
在这项回顾性研究中，我们从一组 1100 例连续患者中选择了 57 例（26 名男性/31 名女性；平均年龄：42.5 岁），在这些患者中，AEEG 记录了未在自我记录日记中报告的癫痫发作事件（UIE）。通过一个简单的问卷，我们对所有这些患者进行了采访，以收集驾驶执照信息。因此，我们评估了这些患者中有多少人（包括耐药和无癫痫发作的患者）经常开车。
我们的研究显示出相当数量的癫痫患者和 UIE。15 例患者患有特发性全面性癫痫（IGE），而 42 例患者患有部分性癫痫（PE）。21 例患者无癫痫发作，36 例患者耐药性癫痫发作。这两个亚组的许多患者都有驾驶执照并正常驾驶（在 36 例耐药患者中有 12 例和在 21 例无癫痫发作患者中有 18 例活跃驾驶）。值得注意的是，发现一个“明显”无癫痫发作的患者群体定期驾驶。
这项研究揭示了大量患有 AEEG 记录的 UIE 的患者（包括耐药和无癫痫发作的患者）。这一发现强调了 AEEG 在临床实践中的有用性，它可以更准确地确定无癫痫发作，并支持与更新或授予驾驶执照有关的决策。
