2010 BC Guide in Determining Fitness to Drive

20.4 Effect of cerebrovascular disease on functional ability to driveTransient ischemic attackThe primary concern for licensing is the potential for a subsequent CVA. The greatest risk iswithin the 3 months following the TIA.Cerebrovascular accidentThe primary concern for licensing is the potential for a persistent impairment of functionalability following a CVA. Depending on what part of the brain is affected, cognitive, motor orsensory functions may be impaired.Cerebral aneurysmThe primary concern for licensing is the risk of an episodic impairment caused by rupture of theaneurysm. Generally, this risk is not considered significant for licensing purposes unless theaneurysm is symptomatic or has been identified as requiring surgical interventionA large or leaking cerebral aneurysm could result in a persistent impairment of cognitive, motoror sensory functions depending on its size and location.ConditionType of drivingimpairment andassessmentapproachPrimaryfunctionalabilityaffectedAssessment toolsTransient ischemic attack(TIA)Episodicimpairment (riskfor stroke):Medical assessment– likelihood ofimpairmentVariable –suddencognitive,motor orsensoryimpairmentDriver’s MedicalExamination ReportSpecialist’s report242