DVLA: neurological disorders Flashcards
with Epilepsy/seizures
all patient must not drive and must inform the DVLA
with first unprovoked/isolated seizure
6 months off the road
first unprovoked/isolated seizure with relevant structural abnormalities on brain imaging and definite epileptiform activity on EEG
12 months off the road
patients with established epilepsy or those with multiple unprovoked seizures:
may qualify for a driving licence if
free from any seizure for 12 months
if there have been no seizures for 5 years (with medication if necessary)
Patients with withdrawawl of epilepsy medication
should not drive whilst anti-epilepsy medication is being withdrawn and for 6 months after the last dose
single syncope episode, explained and treated
4 weeks off
simple faint
no restriction
single syncope episode, unexplained
6 months off
two or more syncope episodes
12 months off
stroke or TIA:
1 month off driving
no need to inform DVLA - if no residual neurological deficit
multiple TIAs over short period of times
3 months off driving and inform DVLA
craniotomy e.g. For meningioma
1 year off driving
pituitary tumour: craniotomy
6 months
trans-sphenoidal surgery for pituitary tumor ?
can drive when there is no debarring residual impairment
narcolepsy/cataplexy:
cease driving on diagnosis, can restart once ‘satisfactory control of symptoms’