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. 2019 Oct 23:1:37.
doi: 10.1186/s42466-019-0043-z. eCollection 2019.

Position paper: ability to drive in cerebrovascular diseases

Peter Marx  1 , Gerhard Hamann  2 , Otto Busse  3 , Thomas Mokrusch  4 , Hendrik Niemann  5 , Hartmut Vatter  6 , Bernhard Widder  7
Affiliations

Position paper: ability to drive in cerebrovascular diseases

Peter Marx et al. Neurol Res Pract. .

Abstract

The regulations for fitness to drive after a cerebrovascular accident in the German Driving License Regulations (FeV) and the German Evaluation Guidelines for Driving Ability (BGL). are not up to date with the current medical knowledge and not consistent with regulations regarding cardiovascular diseases. This position paper presented by six medical and neuropsychological societies in Germany provides a guideline for the assessment of driving ability after diagnosis of a cerebrovascular disease and addresses three major questions: If there is a functional limitation, how can it be compensated for? What is the risk of sudden loss of control while driving in the future? Are there behavioral or personality changes or cognitive deficiencies interfering with safety while driving? Recommendations for the assessment of driving ability in different cerebrovascular diseases are presented. This article is a translation of the position paper published in Nervenarzt: Marx, P., Hamann, G.F., Busse, O. et al. Nervenarzt 90(4): 388-398.

Keywords: Fitness to drive; Informed consent; Intracerebral bleeding; Stroke; Subarachnoid bleeding; Transient ischemic attack.

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Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Relative hazard risk in % of mean (mean = 100%). Perpetrators of passenger car accidents with damage to persons per 100,000 driver’s license holders in each age group and per 1000 driving kilometres per year in Germany
Fig. 2
Fig. 2
Annual rate of first cerebral infarction by age, sex, and race [32]. Rates for black men and women 45 to 54 years of age and for black men ≥75 years of age are considered unreliable. (Chart 14–3, [32])
Fig. 3
Fig. 3
Risk prediction chart for aneurysm rupture (Fig. 2, Part A from [52]). The number in each cell refers to the predicted risk (%) for aneurysm rupture within the next 5 years. ICA = internal carotid artery, MCA = middle cerebral artery, ACA = anterior cerebral artery (including anterior cerebral artery, anterior communicating artery and pericallosal artery), Pcom = posterior communicating artery (including the vertebral artery, basilar artery, cerebellar arteries, and posterior cerebral artery), SAH = subarachnoid hemorrhage
See this image and copyright information in PMC

References

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