Driving a motor vehicle and psychogenic nonepileptic seizures: ILAE Report by the Task Force on Psychogenic Nonepileptic Seizures.

Journal: Epilepsia open

Volume: 5

Issue: 3

Year of Publication: 

Affiliated Institutions:  Epilepsy Research Center Shiraz University of Medical Sciences Shiraz Iran. Section of Cognitive Neuropsychiatry Institute of Psychiatry, Psychology and Neuroscience King's College London London UK. Department of Psychiatry Brigham and Women's Hospital Harvard Medical School Boston MA USA. Comprehensive Epilepsy Program University of South Florida and Tampa General Hospital Tampa FL USA. Department of Mental Health AUSL Romagna Ravenna Italy. Department of Neurology Franz Tappeiner Hospital Merano Italy. Department of Pediatrics University of Calgary AB Canada. Epilepsy Center Ramos Mejía y el Cruce Hospitals Buenos Aires University CONICET Buenos Aires Argentina. Department of Neurology The Bromfield Epilepsy Center Brigham and Women's Hospital Harvard Medical School Boston MA USA. Department of Neurology & Neurosurgery Tbilisi State University Tbilisi Georgia. Department of Psychiatry University of Melbourne Austin Health Heidelberg Australia. The Children's Hospital at Westmead Westmead Institute of Medical Research University of Sydney Medical School Sydney NSW Australia. Rhode Island Hospital Brown University Providence RI USA. Princess Alexandra Hospital Brisbane QLD Australia. Functional Neurology Research Group Departments of Neurology and Psychiatry Massachusetts General Hospital Harvard Medical School Boston MA USA. Department of Neurology University Hospital Knappschaftskrankenhaus Bochum Ruhr University Bochum Bochum Germany. Department of Psychology Stellenbosch University Stellenbosch South Africa. Department of Neurology and the UAB Epilepsy Center University of Alabama at Birmingham Birmingham AL USA. Department of Neurology Yale Comprehensive Epilepsy Center Yale School of Medicine New Haven CT USA. Laboratory of Clinical Neurophysiology Department of Psychiatry University of Sao Paulo Sao Paulo Brazil. Centre for Clinical Brain Sciences University of Edinburgh Edinburgh UK. Academic Department of Neurosciences University of Sheffield Royal Hallamshire Hospital Sheffield UK.

Abstract summary 

This 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.Phase 1: Systematic literature review. Phase 2: Collection of international expert opinion using SurveyMonkey®. 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.Eight 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.Recommendations 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 & Co-authors:  Asadi-Pooya Ali A AA Nicholson Timothy R TR Pick Susannah S Baslet Gaston G Benbadis Selim R SR Beghi Massimiliano M Brigo Francesco F Buchhalter Jeffrey J D'Alessio Luciana L Dworetzky Barbara B Gigineishvili David D Kanaan Richard A RA Kozlowska Kasia K LaFrance W Curt WC Lehn Alexander A Perez David L DL Popkirov Stoyan S Pretorius Chrisma C Szaflarski Jerzy P JP Tolchin Benjamin B Valente Kette K Stone Jon J Reuber Markus M

Study Outcome 

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Statistics
Citations :  Asadi‐Pooya AA, Sperling MR. Epidemiology of psychogenic non‐epileptic seizures. Epilepsy Behav. 2015;46:60–5.
Authors :  23
Identifiers
Doi : 10.1002/epi4.12408
SSN : 2470-9239
Study Population
Male,Female
Mesh Terms
Other Terms
PNES;driving;nonepileptic;psychogenic;seizure
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Publication Country
United States