Schmidtke Klaus
Rehaklinik Klausenbach, Nordrach.
Ortenau Klinikum Offenburg-Gengenbach, Abt. Neurogeriatrie.
Fortschr Neurol Psychiatr. 2018 Jan;86(1):37-42. doi: 10.1055/s-0043-119988. Epub 2018 Jan 17.
Executive functions, visuo-spatial processing and control of behaviour are pertinent for safe driving. In patients with mild cognitive impairment and dementia, these abilities can be impaired, in addition to age-related impairments, and driving ability can be compromised at an early stage. Neurologists and psychiatrists play an important role in the examination, counseling and, if required, the issuing of a medical driving ban. Mistakes in this process may ensue forensic sequelae for the involved physicians. The present article presents the relevant conditions and associated cognitive impairments, and gives some recommendations on the neuropsychological workup and on the communication with patients and relatives concerning driving.
执行功能、视觉空间处理能力和行为控制能力对于安全驾驶至关重要。在轻度认知障碍和痴呆患者中，除了与年龄相关的功能减退外，这些能力可能会受到损害，并且驾驶能力可能在早期就受到影响。神经科医生和精神科医生在检查、咨询以及必要时发布医疗驾驶禁令方面发挥着重要作用。这一过程中的失误可能会给相关医生带来法律后果。本文介绍了相关病症及伴随的认知障碍，并就神经心理学检查以及与患者及其亲属关于驾驶问题的沟通给出了一些建议。
