TY  - JOUR
PY  - 2021//
TI  - Simulated driving in the epilepsy monitoring unit: effects of seizure type, consciousness, and motor impairment
JO  - Epilepsia
A1  - Kumar, Avisha
A1  - Martin, Reese
A1  - Chen, William
A1  - Bauerschmidt, Andrew
A1  - Youngblood, Mark W.
A1  - Cunningham, Courtney
A1  - Si, Yang
A1  - Ezeani, Cel
A1  - Kratochvil, Zachary
A1  - Bronen, Jared
A1  - Thomson, James
A1  - Riordan, Katherine
A1  - Yoo, Ji Yeoun
A1  - Shirka, Romina
A1  - Manganas, Louis
A1  - Krestel, Heinz
A1  - Hirsch, Lawrence J.
A1  - Blumenfeld, Hal
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - People with epilepsy face serious driving restrictions, determined using retrospective studies. To relate seizure characteristics to driving impairment, we aimed to study driving behavior during seizures with a simulator. Patients in the Yale New Haven Hospital undergoing video-electroencephalographic monitoring used a laptop-based driving simulator during ictal events. Driving function was evaluated by video review and analyzed in relation to seizure type, impairment of consciousness/responsiveness, or motor impairment during seizures. Fifty-one seizures in 30 patients were studied. In terms of seizure type, we found that focal to bilateral tonic-clonic or myoclonic seizures (5/5) and focal seizures with impaired consciousness/responsiveness (11/11) always led to driving impairment; focal seizures with spared consciousness/responsiveness (0/10) and generalized nonmotor (generalized spike-wave bursts; 1/19) usually did not lead to driving impairment. Regardless of seizure type, we found that seizures with impaired consciousness (15/15) or with motor involvement (13/13) always led to impaired driving, but those with spared consciousness (0/20) or spared motor function (5/38) usually did not. These results suggest that seizure types with impaired consciousness/responsiveness and abnormal motor function contribute to impaired driving. Expanding this work in a larger cohort could further determine how results with a driving simulator may translate into real world driving safety.<p />  <p>Language: en</p>
LA  - en
SN  - 0013-9580
UR  - http://dx.doi.org/10.1111/epi.17136
ID  - ref1
ER  -