Epileptic auras and their role in driving safety in people with epilepsy.
Publication/Presentation Date
11-1-2015
Abstract
The aim of our study was to evaluate the role of auras in preventing motor vehicle accidents (MVAs) among patients with medically refractory epilepsy. The Multicenter Study of Epilepsy Surgery database was used to perform a case-control study by identifying patients who had seizures while driving that led to MVAs (cases) and those who had seizures while driving without MVAs (controls). We compared presence of reliable auras and other aura-related features between the two groups. Two hundred fifteen of 553 patients reported having seizure(s) while driving; 74 were identified as "controls" and 141 as "cases." The two groups had similar demographic and clinical features. The presence of reliable auras was not different between the two groups (67% in cases vs. 65% in controls; odds ratio [OR] 0.89, 95% confidence interval [CI] 0.49-1.61, p = 0.76). In addition, the groups did not differ in the proportion of patients who reported longer (>1 min) auras (OR 0.7, 95% CI 0.28-1.76, p = 0.47), or who thought that their auras were of sufficient duration to be protective (OR 1.19, 95% CI 0.62-2.00, p = 0.77). Our study questions the long-held belief of a protective role of reliable auras against MVAs in people with epilepsy.
Volume
56
Issue
11
First Page
182
Last Page
185
ISSN
1528-1167
Published In/Presented At
Punia, V., Farooque, P., Chen, W., Hirsch, L. J., Berg, A. T., Multicenter Study of Epilepsy Surgery, & Blumenfeld, H. (2015). Epileptic auras and their role in driving safety in people with epilepsy. Epilepsia, 56(11), e182–e185. https://doi.org/10.1111/epi.13189
Disciplines
Medicine and Health Sciences
PubMedID
26391317
Department(s)
Department of Medicine
Document Type
Article