Abstracts

Rationale: In Czech Republic, member state of EU, was in accordance with EU legislation accepted the law No.277/2004 about the health ability to drive motor vehicles. Methods: According this every driver has to perform clinical history, physical examination, orientation exam of hearing ability, visual resolution, color perception, visual field, equilibrium, neurological examination before the driving license tests and professional drivers, drivers of lories and busses every 2 years up to 50 years of age and every year after this age. All other drivers have to pass this at the age of 60 years, 65, 68 and every 2 years after that. There are as well conditions of ability to drive as private driver with epilepsy, or as professional drivers 10 years after complete cure of this illness. Results: At once, since 1.6.2006, the change by law 411/2005 was made, in which complete neurological examination, psychological exam and EEG is necessary before the driving licenses for lories and busses, as well as for professionals. The same they have to have at the age of 50 years and every 5 years afterwards. According to our EEG laboratory, out of 127 drivers, 12% examined drivers had focal or diffuse “hypo functional” pathology in EEG (slow waves) and another 3% more of epileptiform graphoelements (typical pages of EEG are presented). In 8% of all 24hours EEG video monitoring was necessary to perform. All of them have no case history of neurological disease until now, their neurological exams were normal. The sense of this regulation is discussed due to common incidence of pathology in EEG in adult population Conclusions: What to do with them - that is a question. According us they are not ill and they can drive.