Disobedience and driving in patients with epilepsy

W. O. Tatum, A. V. Worley, M. L.B. Selenica

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Objective: Motor vehicle accidents direct legislators to ensure pubic safety. We attempted to characterize and quantify driving risk in patients with seizures (PWS). Methods: We delivered 12-question surveys to 287 consecutive PWS at an epilepsy clinic in Florida. Illegal and disobedient driving practices were analyzed. Results: Eighty-three of 236 (35.2%) PWS were eligible to drive and 62.3% were ineligible with a seizure in < 6 months (P< 0.001, 95% CI: 0.57-0.70). Among the ineligible responders, 23.8% (35/147) of ineligible responders were illegally driving (14.83% of cohort); 11.86% (28/236) of PWS were disobedient refusing to obey the law, and 8.9% (21/236) of PWS were defiant and knew the law. Sadness (75/236, 31.8%) was the most common reaction to restriction, but disobedient PWS were angry (10/28, 35.7%). Conclusion: Overall, a small number of PWS are disobedient and illegally driving. A targeted approach to high-risk drivers with repeated verbal and supplemental driving information may help avoid unnecessary universal physician reporting for PWS.

Original languageEnglish
Pages (from-to)30-35
Number of pages6
JournalEpilepsy and Behavior
Issue number1
StatePublished - Jan 2012


  • Accidents
  • Behavior
  • Compliance
  • Driving
  • Epilepsy
  • Legal issues
  • Quality of life
  • Refractory
  • Safety
  • Seizures

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience


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