This review compiles scientific data about the real dangers faced by people with epilepsy (PWE) who drive. Those include risks of motor vehicle accidents (MVA) in PWE as compared with controls (individuals without epilepsy) and as compared with persons with other medical conditions that impact fitness to drive. Data regarding Accident rates as related to seizure free intervals (SFI), single vs. multiple seizure events, and/or antiseizure drug (ASD) taper and reintroduction are discussed. Variation in state, national, and international laws and guidance for non-commercial and commercial drivers is highlighted, along with some related reasons for driving restrictions. The review concludes by emphasizing the importance of physicians educating patients about local driving laws and about risks of ASD non-adherence. The need for a broader, multi-stakeholder re-examination of driving regulations for PWE is noted.

中文翻译：

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“机会承担者是事故的制造者”：癫痫患者开车时是否真的有机会？

这篇综述汇编了有关驾驶癫痫病患者面临的实际危险的科学数据。与对照组（无癫痫的个体）相比，与患有其他影响驾驶健康的医疗状况的人相比，这些风险包括PWE中的机动车事故（MVA）风险。讨论了与无癫痫发作间隔（SFI），单发与多发癫痫发作和/或抗癫痫药（ASD）锥度和再引入有关的事故率数据。重点介绍了州，国家和国际法律的差异以及针对非商业和商业驾驶员的指南，以及一些相关的驾驶限制原因。审查在总结时着重强调了医生对患者进行当地驾驶法规和ASD不遵守风险的教育。需要更广泛的