Analysis of traffic accidents caused by epileptic seizures in 7 patients without definite diagnosis
10.3760/cma.j.cn113694-20220811-00606
- VernacularTitle:7例未明确诊断患者癫痫样发作致交通事故分析
- Author:
Jiayin LI
1
;
Siyao JI
;
Yan WANG
;
Yeting LU
;
Xiangyi ZHU
;
Shengjie PAN
;
Min XU
;
Yan LI
;
Xiaowei HU
Author Information
1. 苏州大学附属第一医院神经内科，苏州 215006
- Keywords:
Epilepsies;
Automobile driving;
Epilepsy without definite diagnosis;
Traffic accidents
- From:
Chinese Journal of Neurology
2023;56(5):521-525
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To elucidate the phenomenon that epileptic seizure occurs in patients with epilepsy without definite diagnosis when driving a motor vehicle and its hazards.Methods:From January 2020 to June 2022, 7 epileptic patients who experienced traffic accidents caused by seizures were selected from the First Affiliated Hospital of Soochow University, and their demographic data, traffic accident related data and epilepsy diagnosis and treatment data were summarized and analyzed.Results:A total of 7 adult patients with epilepsy were collected, including 6 males, 4 of whom had been driving for more than 10 years. Among them, 1 patient drove a bus, and the other 6 patients drove private cars. Totally 5/7 of the accidents resulted in personal injury, and 3/7 of the accidents resulted in personal death. In 5 patients, video electroencephalogram showed interictal epileptiform discharges. In 2 patients, the imaging findings suggested the presence of cerebral cortical lesions that may lead to seizures. In terms of the form of seizure, 3 patients′ seizure type was focal to bilateral tonic-clonic, and the other 4 patients were very probable to be focal impaired awareness seizure.Conclusions:Undiagnosed epileptic seizures lead to traffic accidents, endanger patients and public safety, which need to attract attention from both doctors and patients, as well as the whole society.
