EEG in fitness to drive evaluations in people with epilepsy - Considerable variations across Europe.

Autor: Markhus R; Division of Clinical Neuroscience, National Centre for Epilepsy, Oslo University Hospital, Norway. Electronic address: runem@ous-hf.no., Henning O; Division of Clinical Neuroscience, National Centre for Epilepsy, Oslo University Hospital, Norway., Molteberg E; Division of Clinical Neuroscience, National Centre for Epilepsy, Oslo University Hospital, Norway., Hećimović H; Neuro Center, University North, Zagreb, Croatia., Ujvari A; Juhász Pál Epilepsy Centrum, National Institute of Clinical Neuroscience, Budapest, Hungary., Hirsch E; Neurology Department, University Hospital Strasbourg, France., Rheims S; Department of Functional Neurology and Epileptology, Hospices Civils de Lyon and University of Lyon, Lyon's Neurosciences Research Center, Lyon, France., Surges R; Department of Epileptology, University Hospital Bonn, Germany., Malmgren K; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg and Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden., Rüegg S; Department of Neurology, University Hospital Basel, Switzerland., Gil-Nagel A; Department of Neurology, Epilepsy Program, Hospital Ruber Internacional, Madrid, Spain., Roivainen R; Helsinki University Hospital, Neurocenter, Epilepsia Helsinki, Finland., Picard F; EEG and Epilepsy Unit, Department of Neurology, University Hospitals and Medical School of Geneva, Geneva, Switzerland., Steinhoff B; Epilepsiezentrum Kork, Kork, Germany., Marusic P; Department of Neurology, Charles University, Second Faculty of Medicine, Motol University Hospital, Prague, Czech Republic., Mostacci B; IRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy., Kimiskidis VK; Laboratory of Clinical Neurophysiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece., Mindruta I; University Emergency Hospital of Bucharest, Epilepsy Monitoring Unit, Neurology Department, Bucharest, Romania., Jagella C; RehaClinic Kilchberg ZH, Kilchberg, Switzerland., Mameniškienė R; Department of Neurology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania., Schulze-Bonhage A; Epilepsy Center, Medical Center, University of Freiburg, Freiburg, Germany., Rosenow F; Epilepsiezentrum Frankfurt Rhein-Main, Zentrums der Neurologie und Neurochirurgie, Universitätsklinikum Frankfurt, Goethe-Universität, Frankfurt am Main, Germany., Kelemen A; Epilepsy Centrum, Department of Neurology, National Institute of Clinical Neurosciences, Budapest, Hungary., Fabo D; Epilepsy Centrum, Department of Neurology, National Institute of Clinical Neurosciences, Budapest, Hungary., Walker MC; UCL Queen Square Institute of Neurology, London, UK., Seeck M; Department for Clinical Neurosciences, HUG, University Hospitals and Faculty of Medicine, Geneva, Switzerland., Krämer G; Neurocentre Bellevue, Zurich, Switzerland., Arsene OT; Department of Pediatric Neuroloy, Al Obregia' Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania., Krestel H; Epilepsy Center Frankfurt Rhine-Main, University Hospital Frankfurt and Center for Personalized Translational Epilepsy Research (CePTER), Goethe University, Frankfurt, Germany; Department of Neurology, Yale University School of Medicine, New Haven, USA., Lossius M; Division of Clinical Neuroscience, National Centre for Epilepsy, Oslo University Hospital, Norway.
Jazyk: angličtina
Zdroj: Seizure [Seizure] 2020 Jul; Vol. 79, pp. 56-60. Date of Electronic Publication: 2020 Apr 30.
DOI: 10.1016/j.seizure.2020.04.013
Abstrakt: Purpose: Epilepsy patients consider driving issues to be one of their most serious concerns. Ideally, decisions regarding fitness to drive should be based upon thorough evaluations by specialists in epilepsy care. In 2009, an EU directive was published aiming to harmonize evaluation practices within European countries, but, despite these recommendations, whether all epileptologists use the same criteria is unclear. We therefore conducted this study to investigate routine practices on how epileptologists at European epilepsy centers evaluate fitness to drive.
Methods: A questionnaire was sent to 63 contact persons identified through the European Epi-Care and the E-pilepsy network. The questionnaire addressed how fitness-to-drive evaluations were conducted, the involvement of different professionals, the use and interpretation of EEG, and opinions on existing regulations and guidelines.
Results: The questionnaire was completed by 35 participants (56 % response rate). Results showed considerable variation regarding test routines and the emphasis placed on the occurrence and extent of epileptiform discharges revealed by EEG. 82 % of the responders agreed that there was a need for more research on how to better evaluate fitness-to-drive in people with epilepsy, and 89 % agreed that regulations on fitness to drive evaluations should be internationally coordinated.
Conclusion: Our survey showed considerable variations among European epileptologists regarding use of EEG and how findings of EEG pathology should be assessed in fitness-to-drive evaluations. There is a clear need for more research on this issue and international guidelines on how such evaluations should be carried out would be of value.
(Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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