Monash University Accident Research Centre, Monash University, Building 70, Clayton, Victoria, 3800, Australia.
Epilepsy Res. 2012 Dec;102(3):135-52. doi: 10.1016/j.eplepsyres.2012.08.003. Epub 2012 Sep 13.
In many parts of the world, licensing guidelines state that drivers with medical conditions such as epilepsy are restricted or prohibited from driving. These guidelines are sometimes subjective and not strongly evidence-based, rendering the task of assessing fitness to drive a complex one. Determining fitness to drive is not only essential for maintaining the safety of individual drivers but has implications for the community at large. It is therefore important to review the current state of knowledge regarding epilepsy and driving in order to aid health professionals required to assess fitness to drive and to guide future research directions. This review outlines the functional impairments related to epilepsy and driving, treatment and management issues, motor vehicle crash risk for drivers with epilepsy, estimates of predicted seizure occurrence and concludes with a discussion of the international licensing guidelines and relevant legal issues. More comprehensive research, including investigation into the effects of antiepileptic medication on driving, could aid in the development of policies and guidelines for assessing fitness to drive.
在世界上许多地方，驾驶执照指南规定，患有癫痫等疾病的驾驶员受到限制或禁止驾驶。这些指南有时是主观的，没有强有力的证据支持，使得评估驾驶能力成为一项复杂的任务。确定驾驶能力不仅对维护个别驾驶员的安全至关重要，而且对整个社区也有影响。因此，重要的是要审查目前关于癫痫和驾驶的知识状况，以帮助需要评估驾驶能力的卫生专业人员，并指导未来的研究方向。本综述概述了与癫痫和驾驶相关的功能障碍、治疗和管理问题、癫痫患者的机动车事故风险、预测癫痫发作的估计，并讨论了国际驾驶执照指南和相关法律问题。更全面的研究，包括调查抗癫痫药物对驾驶的影响，有助于制定评估驾驶能力的政策和指南。
