Fitness to Drive Post Stroke: A Physician's Perspective
Fitness to Drive Post Stroke: A Physician's Perspective Fitness to Drive Post Stroke: A Physician's Perspective
CASE REPORT
• A 70 year old patient was referred to a neurologist for numbness and weakness of upper and lower extremities. He required a walker to ambulate. The patient lived by himself and required a homemaker’s assistance. His house was in a rural area with no access to public transportation. The neurologist noted weakness of both upper and lower extremities, lower extremity spasticity and hyperreflexia with bilateral upgoing toes. Myelogram showed cervical spinal stenosis C5. He underwent cervical laminectomy and decompression. Postoperatively there was improvement in symptoms but not resolution.
- Page 1 and 2: FITNESS TO DRIVE POST STROKE A Phys
- Page 3 and 4: What does the Legislation have to s
- Page 5 and 6: What does the Legislation have to s
- Page 7 and 8: What does the C.P.S.O. have to say?
- Page 9 and 10: What does the C.M.P.A. have to say?
- Page 11 and 12: What does the C.M.P.A. have to say?
- Page 13 and 14: National Medical Standards • Deve
- Page 16 and 17: The Process • Incoming reports sc
- Page 18 and 19: The Process • Medical Review Sect
- Page 20 and 21: Common Problems 1. Transient ischem
- Page 22 and 23: Stroke • Following an event resul
- Page 24 and 25: Cerebral aneurysm. • Aneurysms th
- Page 26 and 27: Seizures Type of Seizure • Single
- Page 28 and 29: Vision • Acuity: Corrected binocu
- Page 30 and 31: Factors to consider when assessing
- Page 32 and 33: Question to MTO With respect to the
- Page 34 and 35: Response A driver who is reported b
- Page 38 and 39: • The neurologist reviewed the pa
- Page 40 and 41: • The family doctor and neurologi
- Page 42 and 43: • A neurologist gave expert testi
- Page 44 and 45: RESPONSIBILITY • Patient 40% •
- Page 46: LESSONS • Courts unmoved by expla
• A 70 year old patient was referred <strong>to</strong> a<br />
neurologist for numbness and weakness of<br />
upper and lower extremities. He required a<br />
walker <strong>to</strong> ambulate. The patient lived by<br />
himself and required a homemaker’s<br />
assistance. His house was in a rural area<br />
with no access <strong>to</strong> public transportation. The<br />
neurologist noted weakness of both upper<br />
and lower extremities, lower extremity<br />
spasticity and hyperreflexia with bilateral<br />
upgoing <strong>to</strong>es. Myelogram showed cervical<br />
spinal stenosis C5. He underwent cervical<br />
laminec<strong>to</strong>my and decompression.<br />
Pos<strong>to</strong>peratively there was improvement in<br />
symp<strong>to</strong>ms but not resolution.
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