Department of Neurology, Johns Hopkins University, 600 N. Wolfe Street Meyer 2-147, Baltimore, MD, 21287, USA.
Department of Neurology, Thomas Jefferson University, 901 Walnut Street, 4th Floor, Philadelphia, PA, 19107, USA.
Curr Neurol Neurosci Rep. 2016 Sep;16(9):80. doi: 10.1007/s11910-016-0677-y.
Driving restrictions in people with epilepsy (PWE) is a highly contentious topic. The fundamental difficulty lies in achieving a balance between safety and practicality. The aim of this review is to provide an overview, history, and rationale behind current laws regarding driving restriction in PWE. We also discuss recent findings that may be helpful to practitioners during individual discussions with PWE including seizure recurrence risk after first seizure, recurrent seizure, and anticonvulsant with drawl and driving restrictions in patients with psychogenic non-epileptic seizures (PNES).
癫痫患者(PWE)的驾驶限制是一个极具争议性的话题。根本的困难在于在安全和实用性之间取得平衡。本次综述的目的是提供有关 PWE 驾驶限制的现行法律的概述、历史和基本原理。我们还讨论了最近的发现,这些发现可能有助于从业者在与 PWE 进行个体讨论时提供帮助,包括首次发作后癫痫复发风险、复发性癫痫以及抗癫痫药物停药与假性癫痫发作(PNES)患者的驾驶限制。