2010 BC Guide in Determining Fitness to Drive
2010 BC Guide in Determining Fitness to Drive 2010 BC Guide in Determining Fitness to Drive
23.7 Private and commercial drivers with provoked seizures caused by astructural brain abnormalityApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for private andcommercial drivers who have experienced provoked seizures caused by astructural brain abnormality such as: a brain tumour stroke subdural hematoma, or aneurysm.If further information is required, OSMV will request: a Driver’s Medical Examination Report additional information from the treating physician, or a neurological assessment. The neurological assessment may beconducted by the treating physician, if the physician has treated thepatient for two years or more. However, if a neurological assessmentby the treating physician does not provide the required information,OSMV may request an assessment from a neurologist.Individuals may drive if: they have undergone a neurological assessment to determine the causeof the seizure, and epilepsy is not diagnosed it has been 6 months since the provoking factor stabilized, resolved, orbeen corrected, with or without treatment, and they have not had aseizure during that time they have been taking anti-epileptic medication for 3 months or havebeen off anti-epileptic medication for 3 months, and the treating physician indicates that further seizures are unlikely.OSMV may find individuals fit to drive if: they have undergone a neurological assessment to determine the causeof the seizure, and epilepsy is not diagnosed it has been 6 months since the provoking factor stabilized, resolved, orbeen corrected, with or without treatment, and they have not had aseizure during that time they have been taking anti-epileptic medication for 3 months or havebeen off anti-epileptic medication for 3 months, and the treating physician indicates that further seizures are unlikelyNo conditions are required.No restrictions are required.If the seizure occurred within the past 12 months, OSMV will re-assess inone year. If no further seizures are reported at that time, or if the seizureoccurred more than one year ago, OSMV will re-assess in five years. If nofurther seizures are reported at that time, no further re-assessment, otherthan routine commercial or age-related re-assessment, is required.304
23.8 Private and commercial drivers with provoked seizures with no structuralbrain abnormalityApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations for private andcommercial drivers who have experienced provoked seizures causedby: a toxic illness adverse drug reactiona trauma, orother cause that is not associated with a structural brainabnormality.If further information is required, OSMV will request: a Driver’s Medical Examination Report additional information from the treating physician, or a neurological assessment. The neurological assessment may beconducted by the treating physician, if the physician has treated thepatient for two years or more. However, if a neurologicalassessment by the treating physician does not provide the requiredinformation, OSMV may request an assessment from a neurologist.Individuals may drive if: they have undergone a neurological assessment to determine thecause of the seizure, and epilepsy is not diagnosed the provoking factor has stabilized, resolved, or been corrected,with or without treatment, and the treating physician indicates that further seizures are unlikely.OSMV may find individuals fit to drive if: they have undergone a neurological assessment to determine thecause of the seizure, and epilepsy is not diagnosed the provoking factor has stabilized, resolved, or been corrected,with or without treatment, and the treating physician indicates that further seizures are unlikely.No conditions are required.No restrictions are required.No re-assessment, other than routine commercial or age-related reassessment,is required.305
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23.8 Private and commercial drivers with provoked seizures with no structuralbra<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 causedby: a <strong>to</strong>xic illness adverse drug reactiona trauma, orother cause that is not associated with a structural bra<strong>in</strong>abnormality.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 neurologicalassessment by 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 thecause of the seizure, and epilepsy is not diagnosed the provok<strong>in</strong>g fac<strong>to</strong>r has stabilized, resolved, or been corrected,with or without treatment, 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 thecause of the seizure, and epilepsy is not diagnosed the provok<strong>in</strong>g fac<strong>to</strong>r has stabilized, resolved, or been corrected,with or without treatment, and the treat<strong>in</strong>g physician <strong>in</strong>dicates that further seizures are unlikely.No conditions are required.No restrictions are required.No re-assessment, other than rout<strong>in</strong>e commercial or age-related reassessment,is required.305