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should not drive whilst anti-epilepsy medication is being withdrawn and for 6 months after the last dose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’
chronic neurological disorders e.g. multiple sclerosis, motor neuron disease
DVLA should be informed, complete PK1 form (application for driving licence holders state of health)