{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:20:44Z","timestamp":1761513644088},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T00:00:00Z","timestamp":1433980800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. J. Neurol. Sci."],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic><jats:bold>Background:<\/jats:bold><\/jats:italic>The effectiveness of current self-reporting driving laws for medically-unfit potential seizure patients is unknown in Canada. We designed a prospective cohort study of patients\u2019 self-reporting practices to the local Transportation Registry (TR) and their driving behaviors following detailed counselling at a seizure clinic in a discretionary physician-reporting jurisdiction.<jats:italic><jats:bold>Methods:<\/jats:bold><\/jats:italic>Medically unfit drivers, referred to our seizure clinic, who had a valid driver\u2019s permit at the time of their episode of impaired consciousness were included. Patients\u2019 self-reporting and driving behaviours were assessed using a standardized interview prior to a neurologist\u2019s counseling and later at a follow-up visit.<jats:italic><jats:bold>Results:<\/jats:bold><\/jats:italic>Sixty three patients were included; 77% were diagnosed as having had a seizure at the time of their referral. Prior to their seizure clinic visit, 3\/63 (5%) had been counseled to self-report to the TR by a non-neurologist physician, and none had done so. Following a neurologist\u2019s documented counseling 34\/63 (54%) had self-reported themselves at the follow-up seizure clinic visit, and 53\/63 (84%) were not driving.<jats:italic><jats:bold>Conclusion:<\/jats:bold><\/jats:italic>This prospective study design is the first in North America to examine self-reporting rates for unfit drivers with a seizure disorder. Our findings suggest that self-reporting laws do not ensure high rates of self-reporting behaviors even when patients seen at a seizure clinic are appropriately counseled of their legal obligations. The rate of driving cessation appears greater than the rate of self-reporting to the TR among counseled patients.<\/jats:p>","DOI":"10.1017\/cjn.2015.41","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T05:39:13Z","timestamp":1434001153000},"page":"230-234","source":"Crossref","is-referenced-by-count":1,"title":["Counseling at a Seizure Clinic Does Not Ensure Disclosure to the Transportation Registry"],"prefix":"10.1017","volume":"42","author":[{"given":"Maria","family":"Siddiqi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Jirsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,6,11]]},"reference":[{"key":"S0317167115000414_ref8","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1177\/014107689308601006","article-title":"Epilepsy and driving: attitudes and practices 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