Advanced

Dizziness in Europe : from licensed fitness to drive to licence without fitness to drive

Huppert, Doreen; Straumann, Dominik; Magnusson, Mans LU ; Pyykkö, Ilmari and Brandt, Thomas (2018) In Journal of Neurology 265(S1). p.9-17
Abstract

A common European Community driving licence was established in 1980. However, there are major differences among the countries as regards medical conditions that legally affect driving ability. This article discusses various assessment guidelines for dizzy patients. These range from a total absence of specified binding requirements in Finland or regulations open to clinical interpretation in Switzerland, to inappropriately strict regulations in Germany. We focus on requirements for patients with vestibular disorders in Germany which have been in force since 2014. These guidelines stipulate that for group 1 driving licence (private cars < 3.5 t, motorbikes): (1) patients with Menière’s disease (attacks without prodromes) must have had... (More)

A common European Community driving licence was established in 1980. However, there are major differences among the countries as regards medical conditions that legally affect driving ability. This article discusses various assessment guidelines for dizzy patients. These range from a total absence of specified binding requirements in Finland or regulations open to clinical interpretation in Switzerland, to inappropriately strict regulations in Germany. We focus on requirements for patients with vestibular disorders in Germany which have been in force since 2014. These guidelines stipulate that for group 1 driving licence (private cars < 3.5 t, motorbikes): (1) patients with Menière’s disease (attacks without prodromes) must have had no attacks for 2 years before it is possible to drive again. (2) Patients with vestibular migraine without prodromes must not have had any attacks for 3 years. For a group 1 and group 2 driving licence (“professional driver”): (3) patients with bilateral vestibulopathy as a rule are considered to have a driving disability. Similarly, strict restrictions have been formulated for ocular motor disorders such as downbeat and upbeat nystagmus and for patients with functional (psychosomatic) forms of dizziness such as phobic postural vertigo. The authors represent a working group of the European Dizzynet focusing on the topic “fitness to drive with vertigo and balance disorders”. They agree that European guidelines must be revised and harmonized, for some are too strict and the required dizziness-free intervals are too long; others must be revised, for they are too lax. A common European standard is needed.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Balance disorders, Dizziness, Driving licence, Driving restrictions, Fitness to drive, Vertigo
in
Journal of Neurology
volume
265
issue
S1
pages
9 - 17
publisher
Steinkopff
external identifiers
  • scopus:85043686974
ISSN
0340-5354
DOI
10.1007/s00415-018-8806-y
language
English
LU publication?
yes
id
42ed4a8f-8763-42f7-854d-7f9f922c6c27
date added to LUP
2018-03-29 10:01:56
date last changed
2019-03-19 03:52:03
@article{42ed4a8f-8763-42f7-854d-7f9f922c6c27,
  abstract     = {<p>A common European Community driving licence was established in 1980. However, there are major differences among the countries as regards medical conditions that legally affect driving ability. This article discusses various assessment guidelines for dizzy patients. These range from a total absence of specified binding requirements in Finland or regulations open to clinical interpretation in Switzerland, to inappropriately strict regulations in Germany. We focus on requirements for patients with vestibular disorders in Germany which have been in force since 2014. These guidelines stipulate that for group 1 driving licence (private cars &lt; 3.5 t, motorbikes): (1) patients with Menière’s disease (attacks without prodromes) must have had no attacks for 2 years before it is possible to drive again. (2) Patients with vestibular migraine without prodromes must not have had any attacks for 3 years. For a group 1 and group 2 driving licence (“professional driver”): (3) patients with bilateral vestibulopathy as a rule are considered to have a driving disability. Similarly, strict restrictions have been formulated for ocular motor disorders such as downbeat and upbeat nystagmus and for patients with functional (psychosomatic) forms of dizziness such as phobic postural vertigo. The authors represent a working group of the European Dizzynet focusing on the topic “fitness to drive with vertigo and balance disorders”. They agree that European guidelines must be revised and harmonized, for some are too strict and the required dizziness-free intervals are too long; others must be revised, for they are too lax. A common European standard is needed.</p>},
  author       = {Huppert, Doreen and Straumann, Dominik and Magnusson, Mans and Pyykkö, Ilmari and Brandt, Thomas},
  issn         = {0340-5354},
  keyword      = {Balance disorders,Dizziness,Driving licence,Driving restrictions,Fitness to drive,Vertigo},
  language     = {eng},
  month        = {03},
  number       = {S1},
  pages        = {9--17},
  publisher    = {Steinkopff},
  series       = {Journal of Neurology},
  title        = {Dizziness in Europe : from licensed fitness to drive to licence without fitness to drive},
  url          = {http://dx.doi.org/10.1007/s00415-018-8806-y},
  volume       = {265},
  year         = {2018},
}