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To the Editor:
We read with interest the editorial by Chadwick1 and article by Krauss et al.2 A number of patients have kept valid driver’s licenses after involvement in seizure-related motor vehicle accidents (MVA), and we question whether police responding to these accidents are aware that the MVA was caused by seizures.
We prospectively have questioned patients at the University of Miami and Epilepsy Foundation about seizure-related MVA. In following these patients over an 8-month period, 13 admitted to being involved in 14 seizure-related MVA (one patient was involved in two seizure-related MVA [see table]) ⇓ out of a population of 1,523 patients. Three of the 13 patients had been seizure-free for 6 or more months; 10 patients had incompletely controlled seizures. All 13 patients held a valid Florida driver’s license at the time of the accident.
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Patients with epilepsy involved in a seizure-related accident
The seizure causing the accident was not witnessed by the police in any of the 14 accidents. Patient confusion (postictal) was usually ascribed to the accident or suspected …
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