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Journal of Neurology Neurosurgery and Psychiatry 2005;76:159
© 2005 BMJ Publishing Group Ltd


EDITORIAL COMMENTARY

Parkinson's disease

Driving in Parkinson’s disease

A Schrag

Department of Clinical Neurosciences, Royal Free Hospital, University College London, UK

Correspondence to:
Correspondence to:
Dr Anette Schrag
Department of Clinical Neurosciences, Royal Free Hospital, University College London, London NW3 2QG, UK; a.schrag@medsch.ucl.ac.uk


It is not possible for patients to predict their driving safety from a motor examination or the patient’s own judgement

Keywords: Parkinson’s disease; driving

The first 150 words of the full text of this article appear below.

Patients with Parkinson’s disease are usually advised to inform the driving licensing authority and their driving insurance company of the diagnosis. However, until a few years ago, Parkinson’s disease was not considered a major obstacle to safe driving until the advanced stages. This changed when in 1999 sudden onset sleep attacks in patients with Parkinson’s disease on dopaminergic drugs were first reported.1 This not only led to considerable concern about the safe use of dopaminergic drugs in patients who drive, but also to a flurry of studies investigating the frequency of the problem, the contributing factors, and the mechanism and types of drugs associated with it. However, while this remains an important issue, relatively little attention has been paid to the overall ability and competence of patients with Parkinson’s disease to drive a motor vehicle, unrelated to sleep attacks.

In this edition of JNNP (see pp 176–80. . . [Full text of this article]




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