A 44-year-old school bus driver has a first unprovoked generalized seizure. CT head and electrolytes are normal and neurology follow-up is arranged.

Question

A 44-year-old school bus driver has a first unprovoked generalized seizure. CT head and electrolytes are normal and neurology follow-up is arranged. He asks whether he can drive tomorrow because he feels well. You practise in Ontario. What is the most appropriate management?

Accepted Answer

Advise no driving and follow provincial mandatory reporting requirements

Answer

Permit commercial driving if he avoids night shifts

Answer

Tell him driving advice is outside medical responsibility

Answer

Clear him to drive once CT is normal

Answer

Report after a second seizure occurs

Mandatory driving advice after seizure — RCPSC IM MCQ

A 44-year-old school bus driver has a first unprovoked generalized seizure. CT head and electrolytes are normal and neurology follow-up is arranged. He asks whether he can drive tomorrow because he feels well. You practise in Ontario. What is the most appropriate management?