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Epilepsy with Cavernoma – DVLA — SCE Neurology MCQ

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ModerateEpilepsy & Seizure DisordersEpilepsy with Cavernoma – DVLASCE Neurology

A 29-year-old woman presents with her second unprovoked focal seizure in 6 months. MRI shows a left temporal cavernoma without recent haemorrhage. She is started on levetiracetam. She holds a Group 1 driving licence. For how long must she refrain from driving?

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Reveal the answer and explanation

Correct answer: A — 12 months from the last seizure

With two unprovoked seizures within 5 years, she now meets the DVLA definition of epilepsy (a relevant disability for licensing purposes). For Group 1, she must be seizure-free for 12 months. The cavernoma is an underlying risk factor but does not change the 12-month rule for epilepsy (that applies to isolated seizures). A: 6 months applies to a first isolated seizure without risk factors. C: Surgery is not a DVLA prerequisite for relicensing. D: 5 years applies to Group 2 (off medication). E: She must stop driving immediately.

Reference: DVLA – Assessing Fitness to Drive (2025)