Functional seizures driving advice — SCE Neurology MCQ

Correct answer: A — Stop driving and notify DVLA for formal vocational assessment

The best answer is “Stop driving and notify DVLA for formal vocational assessment”. Any recurrent loss of awareness can endanger road users and functional seizures are covered by DVLA neurological fitness assessment; Group 2 standards are especially stringent, so the driver must stop and notify rather than self-certify safety. “Continue passenger driving because the events are non-epileptic” is less appropriate because licensing is based on sudden-incapacity risk, not an epilepsy label alone “Drive with a second adult available to intervene during events” is less appropriate because a passenger cannot reliably prevent harm during sudden driver unresponsiveness “Start valproate principally to preserve the vocational licence” is less appropriate because antiseizure medication does not treat functional seizures or bypass licensing rules “Report the attacks as syncope to avoid neurological restrictions” is less appropriate because misclassification would undermine safe and lawful assessment

Reference: DVLA: neurological disorders — assessing fitness to drive. https://www.gov.uk/guidance/neurological-disorders-assessing-fitness-to-drive