DVLA "at a glance" fitness to drive - Heart Rhythm UK
DVLA "at a glance" fitness to drive - Heart Rhythm UK
DVLA "at a glance" fitness to drive - Heart Rhythm UK
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-The applicant or licence holder must notify <strong>DVLA</strong> unless st<strong>at</strong>ed otherwise in the text<br />
Revised September 2008<br />
NEUROLOGICAL DISORDERS<br />
3. DUE TO INTRACRANIAL<br />
ARTERIOVENOUS<br />
MALFORMATION<br />
(Angioma/AVM which has<br />
bled)<br />
GROUP 1 ENTITLEMENT<br />
ODL - CAR, M/CYCLE<br />
GROUP 2 ENTITLEMENT<br />
VOC – LGV/PCV<br />
(a)<br />
SURGERY<br />
CRANIOTOMY<br />
At least 1 year off driving. 1, 2, or 3<br />
year licence with regular medical<br />
review. Till 70 licence res<strong>to</strong>red after<br />
4 years from surgery, provided there<br />
are no complic<strong>at</strong>ions.<br />
Refusal or revoc<strong>at</strong>ion until lesion is<br />
completely removed or abl<strong>at</strong>ed and 10<br />
years seizure free from last definitive<br />
tre<strong>at</strong>ment.<br />
(b)<br />
OTHER TREATMENT<br />
(Embolis<strong>at</strong>ion or stereotactic<br />
radiotherapy)<br />
Cease driving until s<strong>at</strong>isfac<strong>to</strong>ry<br />
recovery. 1, 2 or 3 year licence with<br />
regular medical review. Till 70<br />
licence res<strong>to</strong>red if completely<br />
abl<strong>at</strong>ed.<br />
Refusal or revoc<strong>at</strong>ion until complete<br />
radiological abl<strong>at</strong>ion of the lesion and <strong>at</strong><br />
least 10 years seizure free from last<br />
definitive tre<strong>at</strong>ment with no debarring<br />
residual impairment likely <strong>to</strong> affect safe<br />
driving.<br />
(c)<br />
NO TREATMENT<br />
ie. Angioma present but no<br />
intervention<br />
One month off driving. When<br />
clinical recovery is s<strong>at</strong>isfac<strong>to</strong>ry, 1, 2<br />
or 3-year licence issued initially.<br />
Permanent refusal or revoc<strong>at</strong>ion.<br />
(d)<br />
INCIDENTAL FINDING<br />
OF INTRACRANIAL<br />
AVM/ANGIOMA<br />
(no his<strong>to</strong>ry of subarachnoid<br />
haemorrhage)<br />
NO TREATMENT<br />
Retain Till 70 licence.<br />
Refusal or revoc<strong>at</strong>ion.<br />
SURGICAL/OTHER<br />
TREATMENT<br />
INTRACEREBRAL ABSCESS/<br />
SUBDURAL EMPYEMA<br />
Period off driving dependent on type<br />
of tre<strong>at</strong>ment (if any): see sections 3a<br />
& b above.<br />
One year off driving.<br />
Period of driving dependent on type of<br />
management – see sections 3a & b<br />
above.<br />
Refusal or revoc<strong>at</strong>ion. Very high<br />
prospective risk of seizure(s). May<br />
consider licensing if <strong>at</strong> least 10 years<br />
seizure free from tre<strong>at</strong>ment.<br />
HYDROCEPHALUS<br />
If uncomplic<strong>at</strong>ed, Till 70 licence<br />
retained<br />
Can be issued with a licence if<br />
uncomplic<strong>at</strong>ed and no associ<strong>at</strong>ed<br />
neurological problems.<br />
INTRAVENTRICULAR SHUNT<br />
OR EXTRAVENTRICULAR<br />
DRAIN<br />
Insertion or revision of upper end of<br />
ventricular shunt or extra-venricular<br />
drain.<br />
6 months off . Can then be relicensed<br />
when there is no debarring<br />
residual impairment likely <strong>to</strong> affect<br />
safe driving.<br />
Individual assessment.<br />
See Appendix <strong>at</strong> end of this Chapter<br />
14
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