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Stroke-Related Seizure – Group 2 DVLA — SCE Neurology MCQ

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HardEpilepsy & Seizure DisordersStroke-Related Seizure – Group 2 DVLASCE Neurology

A 65-year-old man with a right MCA stroke 6 months ago is assessed for return to work. He was a bus driver (Group 2 licence). He had a single stroke-related seizure at the time of the stroke but has been seizure-free since. He has made a good motor recovery. What DVLA guidance applies regarding his Group 2 licence?

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Correct answer: E — He must be seizure-free for 5 years off all antiseizure medication to regain a Group 2 licence after any seizure

For Group 2 (HGV/PCV) licensing, ANY seizure (including an acute symptomatic seizure at the time of stroke) requires the individual to be seizure-free for at least 5 years AND off all antiseizure medication for at least 5 years before a Group 2 licence can be considered. This is much stricter than Group 1 requirements. The stroke itself also has separate Group 2 requirements (functional recovery assessment). A: 12 months is the Group 1 standard for epilepsy. C: Immediate return is not permitted. D: Not permanently denied but the threshold is very high. E: 10 years is for epilepsy (2+ unprovoked seizures) Group 2.

Reference: DVLA – Assessing Fitness to Drive (2025)