title: Disobedience and driving in patients with epilepsy.
abstract: 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%).
  
  
  CONCLUSIONS
  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.
authors: Department of Neurology, Mayo Clinic, Jacksonville, FL 32224, USA. scipubs@mayo.edu
authors: W O
authors: WO
authors: Tatum
authors: A V
authors: AV
authors: Worley
authors: M L B
authors: ML
authors: Selenica
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001334:Automobile Driving / Q000331:legislation & jurisprudence* / Q000523:psychology*; D001526:Behavioral Symptoms; D003617:Dangerous Behavior; D004827:Epilepsy / Q000503:physiopathology* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult