Epilepsy

Epilepsy (often referred to as a seizure disorder) is a chronic neurological condition characterized by recurrent unprovoked seizures. The condition is named from the Greek epilepsia ("a taking hold of or seizing"). It is commonly controlled with medication, although surgical methods are used as well.

Legal implications

People diagnosed with epilepsy are strictly forbidden by law from operating vehicles in many jurisdictions; seizure victims can and have caused many fatal car accidents and plane crashes. However, there are usually special exceptions for those who can prove that they have stabilized their condition for a period of time with the help of appropriate medication.

Related Topics:
Car accident - Plane crash

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There is an ongoing debate in bioethics over who should bear the burden of ensuring that an epilepsy patient does not drive a car or fly an airplane. The majority of U.S. states place the burden on patients to report their condition to appropriate licensing authorities so that their privileges, if any, can be revoked. A minority of states (including California) place the burden on the patient's physician. Empirical studies have demonstrated that such laws may deter epilepsy patients from seeking treatment for their condition, because they fear the loss of their driving privileges.

Related Topics:
Bioethics - U.S. state - California

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In the UK, it is the responsibility of the patient to inform the Driver and Vehicle Licensing Agency (DVLA) if they have epilepsy. The rules are quite complex, but in summary those continuing to have seizures or who are within 6 months of medication change may have their license revoked. A doctor who becomes aware that a patient with uncontrolled epilepsy is continuing to drive has, after reminding the patient of their responsibility, a duty to break confidentiality and inform the DVLA. The doctor should advise the patient of the disclosure and the reasons why their failure to notify the agency obliged the doctor to act.

Related Topics:
UK - Driver and Vehicle Licensing Agency - Confidentiality

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