Journal
EPILEPSIA OPEN
Volume 5, Issue 3, Pages 371-385Publisher
WILEY
DOI: 10.1002/epi4.12408
Keywords
driving; nonepileptic; PNES; psychogenic; seizure
Categories
Funding
- Shiraz University of Medical Sciences [20509]
Ask authors/readers for more resources
ObjectivesThis International League Against Epilepsy (ILAE) Report: (a) summarizes the literature about driving and psychogenic nonepileptic seizures (PNES); (b) presents the views of international experts; and (c) proposes an approach to assessing the ability of persons with PNES (PwPNES) to drive. MethodsPhase 1: Systematic literature review. Phase 2: Collection of international expert opinion using SurveyMonkey (R). Experts included the members of the ILAE PNES Task Force and individuals with relevant publications since 2000. Phase 3: Joint analysis of the findings and refinement of conclusions by all participants using email. As an ILAE Report, the resulting text was reviewed by the Psychiatry Commission, the ILAE Task Force on Driving Guidelines, and Executive Committee. ResultsEight studies identified by the systematic review process failed to provide a firm evidence base for PNES-related driving regulations, but suggest that most health professionals think restrictions are appropriate. Twenty-six experts responded to the survey. Most held the view that decisions about driving privileges should consider individual patient and PNES characteristics and take account of whether permits are sought for private or commercial driving. Most felt that those with active PNES should not be allowed to drive unless certain criteria were met and that PNES should be thought of as active if the last psychogenic seizure had occurred within 6 months. SignificanceRecommendations on whether PwPNES can drive should be made at the individual patient level. Until future research has determined the risk of accidents in PwPNES a proposed algorithm may guide decisions about driving advice.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available