Impact of epilepsy after severe brain injury on safe resumption of driving: two-year follow-up

被引:0
作者
Saviola, Donatella [1 ]
De Tanti, Antonio [1 ]
Delsoldato, Simonetta [1 ]
Chiari, Margherita [1 ]
Inzaghi, Maria Grazia [2 ]
Baldari, Francesco [3 ]
机构
[1] Cardinal Ferrari Rehabil Ctr, Santo Stefano Rehabil, Parma, Italy
[2] Quarenghi Clin Inst, Neuropsychol Lab, S Pellegrino, BG, Italy
[3] Motor Vehicle Off, Venice & Treviso & Belluno Sect, Treviso, Italy
关键词
antiepileptic drugs; brain injury; driving; epilepsy; seizure recurrence;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Safe resumption of driving after a severe acquired brain injury (sABI) is a strongly felt need because driving is related to recovery of independence and social-occupational re-integration. The aim of this prospective observational cohort study was to determine whether epilepsy secondary to sABI is a significant factor for being declared fit to drive by the relevant government authorities in Itly. In the period 2006-2015 we recruited 187 patients with sABI, 30 of whom (16.4%) developed secondary epilepsy. The interval between the acute event and the first seizure varied widely (6-96 months, confirming the need for prolonged follow-up. With regard to the aetiology, traumatic brain injury (TBI) was associated with the highest risk of epilepsy: 66.7% of the 30 patients with epilepsy had TBI, as opposed to cerebrovascular disease or apoxic brain damage (33.3%). The percentage of patiens who resumed driving was about the same in the epilepsy (10%) and non-epilepsy (81%) groups.
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页码:91 / 95
页数:5
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