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2010 BC Guide in Determining Fitness to Drive

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23.7 Private and commercial drivers with provoked seizures caused by astructural bra<strong>in</strong> abnormalityApplicationAssessment guidel<strong>in</strong>es<strong>Fitness</strong> guidel<strong>in</strong>esOSMV determ<strong>in</strong>ationguidel<strong>in</strong>esConditionsRestrictionsRe-assessmentguidel<strong>in</strong>esThese guidel<strong>in</strong>es apply <strong>to</strong> driver fitness determ<strong>in</strong>ations for private andcommercial drivers who have experienced provoked seizures caused by astructural bra<strong>in</strong> abnormality such as: a bra<strong>in</strong> tumour stroke subdural hema<strong>to</strong>ma, or aneurysm.If further <strong>in</strong>formation is required, OSMV will request: a <strong>Drive</strong>r’s Medical Exam<strong>in</strong>ation Report additional <strong>in</strong>formation from the treat<strong>in</strong>g physician, or a neurological assessment. The neurological assessment may beconducted by the treat<strong>in</strong>g physician, if the physician has treated thepatient for two years or more. However, if a neurological assessmentby the treat<strong>in</strong>g physician does not provide the required <strong>in</strong>formation,OSMV may request an assessment from a neurologist.Individuals may drive if: they have undergone a neurological assessment <strong>to</strong> determ<strong>in</strong>e the causeof the seizure, and epilepsy is not diagnosed it has been 6 months s<strong>in</strong>ce the provok<strong>in</strong>g fac<strong>to</strong>r stabilized, resolved, orbeen corrected, with or without treatment, and they have not had aseizure dur<strong>in</strong>g that time they have been tak<strong>in</strong>g anti-epileptic medication for 3 months or havebeen off anti-epileptic medication for 3 months, and the treat<strong>in</strong>g physician <strong>in</strong>dicates that further seizures are unlikely.OSMV may f<strong>in</strong>d <strong>in</strong>dividuals fit <strong>to</strong> drive if: they have undergone a neurological assessment <strong>to</strong> determ<strong>in</strong>e the causeof the seizure, and epilepsy is not diagnosed it has been 6 months s<strong>in</strong>ce the provok<strong>in</strong>g fac<strong>to</strong>r stabilized, resolved, orbeen corrected, with or without treatment, and they have not had aseizure dur<strong>in</strong>g that time they have been tak<strong>in</strong>g anti-epileptic medication for 3 months or havebeen off anti-epileptic medication for 3 months, and the treat<strong>in</strong>g physician <strong>in</strong>dicates that further seizures are unlikelyNo conditions are required.No restrictions are required.If the seizure occurred with<strong>in</strong> the past 12 months, OSMV will re-assess <strong>in</strong>one year. If no further seizures are reported at that time, or if the seizureoccurred more than one year ago, OSMV will re-assess <strong>in</strong> five years. If nofurther seizures are reported at that time, no further re-assessment, otherthan rout<strong>in</strong>e commercial or age-related re-assessment, is required.304

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