Position paper: ability to drive in cerebrovascular diseases
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(2019) 1:37
Neurological Research and Practice
POSITION STATEMENT
Open Access
Position paper: ability to drive in cerebrovascular diseases Peter Marx1* , Gerhard Hamann2, Otto Busse3, Thomas Mokrusch4, Hendrik Niemann5, Hartmut Vatter6 and Bernhard Widder7
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: Stroke, Transient ischemic attack, Intracerebral bleeding, Subarachnoid bleeding , Informed consent, Fitness to drive
Introduction Driving is a vital aspect of many people’s daily lives. German law requires that any driver exhibit good health, with no significant impairment of ability to drive. In addition to epilepsy and cardiovascular diseases, cerebrovascular diseases present a major group of diseases which can negatively impact the ability to drive. The right to drive a motor vehicle is offset by the potential danger entailed, which is why driving ability and driver’s licenses are subject to strict legal conditions. Knowledge of the medical hazard potential and the legal requirements are important for both the physician giving mandatory advice within the scope of safety assessment and the certifying medical expert. The recommendations presented in this position paper are based on the interpretation of clinical studies by experts entrusted with this task by the following societies:
* Correspondence: [email protected] 1 Department of Neurology, Campus Benjamin Franklin, Charitè Universtitätsmedizin Berlin, Terrassenstr. 45, 14129 Berlin, Germany Full list of author information is available at the end of the article
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German Society of Neuroscientific Assessment (DGNB) German Society of Neurology (DGN) German Society of Neurosurgery (DGNC) German Society of Neurorehabilitation (DGNR) German Stroke Society (DSG) Society for Neuropsychology (GNP)
A complete version of this position paper can be found on the websites of the DGNB, DGNC, DGNR and GNP.
Legal requirements According to §2 (4) of the German Road Traffic Act (Straßenverkehrsgesetz, StVG) [1], anyone who fulfills the necessary physical and menta
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