Driving Flashcards
Pituitary tumour, treated with craniotomy
Cat 1
Cat 2
Category 1:
Must inform DVLA
Cannot drive for 6mths
Category 2:
No driving and notify DVLA
Cannot drive for 2yrs
Pituitary tumour treated with observation, medical management, trans-sphenoidal surgery or RT
Cat 1
Cat 2
Category 1:
No need to inform DVLA
Can drive so long as no visual field defect
Category 2:
No need to inform DVLA
Can drive so long as no visual field defect
Gr1 meningioma, treated with craniotomy
Cat 1 & Cat 2
And if presented with seizures
Category 1:
Cannot drive for 6mths
Must inform the DVLA
If presented with seizures, cannot drive for 1yr following surgery and for 1yr following most recent seizure
Category 2:
No driving, must notify DVLA
Cannot drive for 5yrs
Cannot drive for 10yrs if seizures
Gr1 meningioma, treated with SRS
Cat 1
Cat 2
Category 1:
Cannot drive for 1 months and must inform DVLA
Can restart driving so long as no visual field defect
Category 2:
No driving, must notify DVLA
Cannot drive for 3yrs
Cannot drive for 10yrs if seizures
Gr1 meningioma, treated with fractionated RT
Cat 1
Cat 2
Category 1:
Cannot drive during treatment, but can restart on completion of RT, provided no visual field defect
Must inform DVLA
Category 2:
No driving, must notify DVLA
Cannot drive for 3yrs
Cannot drive for 10yrs if seizures
Grade 2 meningioma, regardless of treatment modality
Cat 1
Cat 2
Category 1:
Cannot drive for one year
Must inform DVLA
Can restart driving if no visual field defect
Category 2:
Cannot drive and must notify DVLA
Cannot drive for 5yrs
Cannot drive for 10yrs if seizures
Asymptomatic incidental meningioma not requiring treatment
Cat 1
Cat 2
Category 1:
May drive and no need to inform DVLA
Category 2:
Cannot drive and must inform DVLA
Can relicense if 2 scans 12mths apart show no growth
Asymptomatic, suspected low grade tumour
Cat 1
Cat 2
Category 1:
Cannot drive, must inform DVLA
Individual assessment
Category 2:
Cannot drive and must notify DVLA
Cannot drive for 12mths
Can relicense if 2 scans 12mths apart show no growth
Grade 1-2 glioma
If evidence of progression on imaging, when might licensing be considered
Cat1
Cat2
Category 1:
Cannot drive for 6mths and for one year after primary treatment
Must notify DVLA
If progression on imaging, licensing may be considered if no seizures for 1yr, no clinical disease progression, and no primary treatment required
Otherwise another 1yr off driving following primary treatment or seizure
Category 2:
Licence revoked
gr1 pineocytoma: Relicensing may be considered after 2yrs
Gr3 meningioma
Cat 1
Cat 2
Cat 1:
Cannot drive for 2yrs after completion of treatment
Must inform DVLA
Category 2:
Cannot drive and must inform DVLA. licence revoked
Gr3-4 glioma
CNS lymphoma
Cat 1
Cat 2
Cat 1:
Cannot drive for 2yrs after completion of treatment
Must inform DVLA
Category 2:
Cannot drive and must inform DVLA. licence revoked
Solitary met
Cat 1
Cat 2
Cat 1
Cannot drive for 1yr following treatment
Must inform DVLA
Can start again if no extra cranial disease progression or new intracranial mets
Otherwise 2yrs
Category 2:
Cannot drive and must inform DVLA. licence revoked
Intracranial mets treated with immunotherapy or targeted agents
Cat 1 & Cat 2
Cat 1
Cannot drive for 1yr following treatment
Must inform DVLA
Can start again if stable disease intra- & extracranially
Otherwise 2yrs
Category 2:
Cannot drive and must inform DVLA. licence revoked
Cat 1:
Acoustic neuroma
Cat 1:
No restriction unless dizzy
Category 2:
No restriction unless dizzy or bilateral disease
Brain biopsy
Cat 1
Cat 2
Cat 1:
Cannot drive for 6mths. Must notify DVLA
Can drive again if insignificant histology and no residual impairment
Category 2:
Cannot drive for 6mths. Must notify DVLA
Can drive again if insignificant histology and no residual impairment