![]() Practical driver assessments).Ĭomorbidities such as drug or alcohol misuse and musculoskeletal injuries may also need to be considered (refer to section 9. Clinical, neuropsychological or practical driver assessments may be helpful in determining fitness to drive (refer to Part A section 2.3.1. Also, personality or behavioural changes may affect judgement and tolerance and be associated with a psychiatric disorder such as depression or post-traumatic stress disorder. There may be focal neurological injury affecting motor or sensory tracts as well as the cranial nerves. More significant head injuries may impair any of the neurological functions listed in Box 3 and can impair long-term driving ability. Similarly, immediate seizures that occur within 24 hours of a head injury are not considered to be epilepsy but part of the acute process. Minor head injuries involving a loss of consciousness of less than one minute with no complications do not usually result in any long- term impairment. This is advisory and not a licensing matter. However, any person who has had a traumatic injury causing loss of consciousness should not drive for a minimum of 24 hours, and the effects on functions listed above should be monitored. Head injury 2, 3, 4, 5, 6Ī head injury will only affect driver licensing if it results in chronic impairment or seizures. As the disorder is usually static, periodic review is not normally required. A practical driver assessment may be required (refer to Part A section 2.3.1. Cerebral palsyĬerebral palsy may impair driving ability because of difficulty with motor control or if it is associated with intellectual impairment. If the person has had a seizure, the seizures and epilepsy standards also apply (refer to section 6.2. If treated surgically, the advice regarding intracranial surgery applies (refer below). Commercial vehicle drivers should be individually assessed for suitability for a conditional licence. However, if they produce a neurological deficit, the person should be assessed to determine if any of the functions listed above are impaired. ![]() Cavernomas frequently produce small asymptomatic haemorrhages that do not impair driving ability. However, the person should not drive if they are at high risk of sudden symptomatic haemorrhage (e.g. The risk of sudden severe haemorrhage from most unruptured intracranial aneurysms and vascular malformations is low enough to allow unrestricted driving for private vehicle drivers. Aneurysms (unruptured intracranial aneurysms and other vascular malformations)
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