Fisher R S, Parsonage M, Beaussart M, Bladin P, Masland R, Sonnen A E, Rémillard G
Barrow Neurologic Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496.
Epilepsia. 1994 May-Jun;35(3):675-84. doi: 10.1111/j.1528-1157.1994.tb02491.x.
Individuals with a history of seizures may be granted driving privileges if the risks of future seizure while driving are relatively low. Different nations have defined these risks in a wide variety of ways. Some countries, e.g., Japan, Greece, Brazil, India, and Russia, preclude driving after a single seizure. Other countries, such as Canada and the United States, allow driving < or = 3 months after certain types of seizures. A Joint Commission of the International Bureau for Epilepsy/International League Against Epilepsy has summarized regulations in several countries. From a consideration of medical literature and existing practices, a series of proposed guidelines for driving and epilepsy is recommended. In general, these guidelines suggest use of a seizure-free interval, generally 1-2 years but less in particular instances, to determine fitness to drive. Required physician reporting is discouraged, but physicians should report patients whom they believe pose a danger to themselves and to public safety. Individualized consideration should be given to special circumstances that may modify a general driving prohibition. Education and information programs are necessary for medical and regulatory authorities to develop a rational approach to driving and epilepsy worldwide.
有癫痫发作史的人，如果驾车时未来癫痫发作的风险相对较低，可能会被授予驾驶特权。不同国家以多种方式界定了这些风险。一些国家，如日本、希腊、巴西、印度和俄罗斯，禁止在单次癫痫发作后驾车。其他国家，如加拿大和美国，允许在某些类型的癫痫发作后<或=3个月驾车。国际癫痫局/国际抗癫痫联盟联合委员会总结了几个国家的相关规定。综合医学文献和现有做法，建议制定一系列关于驾车与癫痫的指导方针。一般来说，这些指导方针建议使用无癫痫发作间隔期（通常为1至2年，但在特定情况下可缩短）来确定是否适合驾车。不鼓励医生进行强制报告，但医生应报告他们认为对自身和公共安全构成危险的患者。对于可能改变一般驾驶禁令的特殊情况应进行个体化考量。医学和监管当局开展教育和信息项目对于在全球范围内制定关于驾车与癫痫的合理方法是必要的。
