Article ; Online: Simulated driving in the epilepsy monitoring unit: Effects of seizure type, consciousness, and motor impairment.
2021 Volume 63, Issue 1, Page(s) e30–e34
Abstract: People with epilepsy face serious driving restrictions, determined using retrospective studies. To relate seizure characteristics to driving impairment, we aimed to study driving behavior during seizures with a simulator. Patients in the Yale New Haven ... ...
| Abstract | People with epilepsy face serious driving restrictions, determined using retrospective studies. To relate seizure characteristics to driving impairment, we aimed to study driving behavior during seizures with a simulator. Patients in the Yale New Haven Hospital undergoing video-electroencephalographic monitoring used a laptop-based driving simulator during ictal events. Driving function was evaluated by video review and analyzed in relation to seizure type, impairment of consciousness/responsiveness, or motor impairment during seizures. Fifty-one seizures in 30 patients were studied. In terms of seizure type, we found that focal to bilateral tonic-clonic or myoclonic seizures (5/5) and focal seizures with impaired consciousness/responsiveness (11/11) always led to driving impairment; focal seizures with spared consciousness/responsiveness (0/10) and generalized nonmotor (generalized spike-wave bursts; 1/19) usually did not lead to driving impairment. Regardless of seizure type, we found that seizures with impaired consciousness (15/15) or with motor involvement (13/13) always led to impaired driving, but those with spared consciousness (0/20) or spared motor function (5/38) usually did not. These results suggest that seizure types with impaired consciousness/responsiveness and abnormal motor function contribute to impaired driving. Expanding this work in a larger cohort could further determine how results with a driving simulator may translate into real world driving safety. |
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| MeSH term(s) | Consciousness ; Electroencephalography/methods ; Epilepsy/complications ; Epilepsy/diagnosis ; Humans ; Motor Disorders ; Retrospective Studies ; Seizures/diagnosis |
| Language | English |
| Publishing date | 2021-11-24 |
| Publishing country | United States |
| Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 216382-2 |
| ISSN | 1528-1167 ; 0013-9580 |
| ISSN (online) | 1528-1167 |
| ISSN | 0013-9580 |
| DOI | 10.1111/epi.17136 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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