Neurology and fitness to drive
Information and questions and answers from the April 2013 MARVAD standards. This is historical information; requirements may have changed. It does not replace individual medical or legal advice or determine personal fitness to drive.
Conditions in this field
Questions and answers
Which conditions does the neurology chapter cover?
These include stroke, transient ischaemic attack, brain injury, epilepsy, multiple sclerosis, neuromuscular diseases and sleep disorders.
Are stroke and TIA the same entry?
No. The table separates CVA and TIA. Check the event type, functional effects and the column for the relevant licence.
What is assessed after brain injury?
The chapter discusses possible physical and cognitive effects and seizure risk. The table has a separate brain-injury entry.
Does a single seizure necessarily mean epilepsy?
The table distinguishes a seizure without an epilepsy diagnosis from a seizure with diagnosed epilepsy. This is essential when selecting the appropriate entry.
Are seizures occurring only during sleep addressed separately?
Yes. A dedicated entry applies. Check all its conditions; the heading alone is not permission to drive.
What happens when epilepsy medication changes?
The table includes treatment or dosage changes and seizure recurrence after changing or stopping treatment. The condition before the change alone is not sufficient.
Is multiple sclerosis assessed by diagnosis alone?
The chapter describes possible effects on movement, sensation, vision and cognition. Its significance for driving depends on functional impairments, not merely the diagnosis.
Why can neuromuscular diseases affect driving?
The document discusses loss of strength, sensation and coordination, assessing the ability to perform the actions required for driving.
How is sleepiness that endangers driving addressed?
The document indicates unfitness, with possible consideration of a restricted recommendation subject to sleep-specialist follow-up, adherence to treatment and assessment of its effectiveness.
What are MWT and RDI?
MWT assesses the ability to stay awake; RDI describes respiratory disturbance events in a sleep study. This edition specifies different measures for private and professional driving.
View original source
Original source scan in Hebrew. The translated explanatory text is provided on this page. The historical 2013 standards may have changed and do not determine your individual fitness to drive.
Stroke — CVA
Transient ischaemic attack — TIA
Traumatic brain injury — TBI
Brain aneurysm
Intracranial tumours
After intracranial surgery
Epilepsy
Non-epileptic seizures
Multiple sclerosis
Benign multiple sclerosis
Relapsing-remitting multiple sclerosis
Secondary progressive multiple sclerosis
Primary progressive multiple sclerosis
Malignant multiple sclerosis
Parkinson’s disease
Cerebral palsy
Post-polio syndrome
Spina bifida
Motor neuron disease
ALS
PLS
PMA
Progressive bulbar palsy
Pseudobulbar palsy
Neuromuscular diseases
Peripheral neuropathy
Muscular dystrophy
Nerve injury
Myasthenia gravis
Radiculopathy
Myositis
Sleepiness and sleep disorders
Obstructive sleep apnoea
Seizure without epilepsy diagnosis
Seizure with epilepsy diagnosis
Epilepsy surgery
Seizures only during sleep
Changes to epilepsy medication
Seizure recurrence after medication change or withdrawal
Simple focal seizure with aura
Complex focal seizure
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