Physical and Mental Conditions Guidelines LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE by mustarhymes

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									Physical and Mental Conditions Guidelines                                                                                                                                      Page 4.3
                                                          LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE

                                                       Functional
 Seizure Type               Definition                Impairment                 Severity Range                        Range of Actions                  Contributing Factors
Simple Partial    Implies no loss of               May cause a         Minimum: Seizures never                 No Action: Seizures are stable       •   Alcohol consumption
Seizure           consciousness. A seizure         distraction or      progress to complex partial             and controlled or are ongoing
                  discharge confined to a          change in sensory   seizures or secondarily                 seizures, i.e., twitch, but do not   •   Evidence of driving under
Usually           small area of the brain. The     motor functions.    generalized tonic clonic seizures.      affect driving.                          stressful or fatiguing situations
originates in a   person may have twitching                            Condition is well controlled with
                                                                                                               Medical Prob. II: Control only       •   Mileage and road exposure
specific focal    which may involve the face                           or without medication with no
point in the      or other extremities, slurred                        adverse side effects. There is no
                                                                                                               recently achieved for three          •   Sleep deprivation. This could
                                                                                                               months.                                  be caused by illness, studying
brain. These      words, odd smells, strange                           distraction or significant change
seizures spread   feelings, visual disturbances.                       in sensory or motor function            Medical Prob. III: Stable and            for finals, insomnia, newborn,
gradually or                                                           which would likely impair driving       controlled for six months or             etc.
suddenly.         An aura is a simple partial                          ability.                                longer with potential for            •   Drug abuse (prescribed or
                  seizure that may precede                                                                     instability due to contributing          illicit)
                  other types of seizures.                             Maximum: Uncontrollable                 factors.
                                                                       frequent episodes in which                                                   •   Etiology
                                                                                                               Suspension: Condition not
                                                                       muscular control or coordination                                             •   Change in medical regimen
                                                                                                               controlled and could affect the
                                                                       of a limb is affected for a period
                                                                                                               driver’s ability to safely operate
                                                                       of time to the point that                                                    •   Adverse side effects to
                                                                                                               a motor vehicle.
                                                                       maneuvering a motor vehicle is                                                   anticonvulsant medications.
                                                                       very difficult.                         Revocation: Condition not likely         This could include dizziness,
                                                                                                               to ever be brought under control.        weakness, tremors, or lack of
                                                                       Episodes with sensory or                                                         alertness and coordination
                                                                       emotional impairment which                                                       contributing to poor reaction
                                                                       interfere with attentional process                                               time when driving.
                                                                       to an extent that is unsafe to drive.
                                                                                                                                                    •   Driver’s reliability and
                                                                                                                                                        compliance with prescribed
                                                                                                                                                        medical regimen. A person’s
                                                                                                                                                        positive attitude toward
                                                                                                                                                        understanding and accepting
                                                                                                                                                        his/her epileptic condition will
                                                                                                                                                        enhance his/her ability to
                                                                                                                                                        achieve adequate control of the
                                                                                                                                                        condition.
                                                                                                                                                    •   History of noncompliance with
                                                                                                                                                        prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines                 LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                    Page 4.4
Rev. 2/99
                                                      Functional
 Seizure Type               Definition               Impairment                Severity Range                  Range of Actions                   Contributing Factors
Complex           Characterized by a lapse of    Loss of              Minimum: Seizures are well        No Action: Condition is stable       •   Alcohol consumption
Partial Seizure   consciousness and may have     consciousness or     controlled with or without        and controlled for an adequate
                  quasi purposeful movement      ability to respond   medication with no adverse side   period of time.                      •   Evidence of driving under
Usually           which may or may not be        to the               effects.                                                                   stressful or fatiguing situations
                                                                                                        Medical Prob. II: Control only
originates in a   reactive to the environment.   environment.
                                                                                                        recently achieved for three          •   Mileage and road exposure
specific focal    The person usually has no                           Maximum: Uncontrollable
point in the      recollection of events.        May have             frequent episodes of partial or
                                                                                                        months.                              •   Sleep deprivation. This could
brain. These                                     prolonged post-      total loss of consciousness.      Medical Prob. III: Stable and            be caused by illness, studying
seizures spread                                  seizure confusion.                                     controlled for six months or             for finals, insomnia, newborn,
gradually or                                                                                            longer with potential for                etc.
suddenly.                                                                                               instability due to contributing      •   Drug abuse (prescribed or
                                                                                                        factors.                                 illicit)
                                                                                                        Suspension: Condition not            •   Etiology
                                                                                                        controlled and could affect the
                                                                                                        driver’s ability to safely operate   •   Change in medical regimen
                                                                                                        a motor vehicle.
                                                                                                                                             •   Adverse side effects to
                                                                                                        Revocation: Condition not likely         anticonvulsant medications.
                                                                                                        to ever be brought under control.        This could include dizziness,
                                                                                                                                                 weakness, tremors, or lack of
                                                                                                                                                 alertness and coordination
                                                                                                                                                 contributing to poor reaction
                                                                                                                                                 time when driving.
                                                                                                                                             •   Driver’s reliability and
                                                                                                                                                 compliance with prescribed
                                                                                                                                                 medical regimen. A person’s
                                                                                                                                                 positive attitude toward
                                                                                                                                                 understanding and accepting
                                                                                                                                                 his/her epileptic condition will
                                                                                                                                                 enhance his/her ability to
                                                                                                                                                 achieve adequate control of the
                                                                                                                                                 condition.
                                                                                                                                             •   History of noncompliance with
                                                                                                                                                 prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines               LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                     Page 4.5

                                                    Functional
 Seizure Type               Definition             Impairment                 Severity Range                  Range of Actions                   Contributing Factors
Secondarily       Starts as a simple partial    Involuntary          Minimum: Seizures are well        No Action: Condition is stable       •   Alcohol consumption
Generalized       seizure or complex partial    repetitive           controlled with or without        and controlled for an adequate
Seizure           seizure and develops into a   movements.           medication with no adverse side   period of time.                      •   Evidence of driving under
                  generalized tonic clonic                           effects.                                                                   stressful or fatiguing situations
                                                                                                       Medical Prob. II: Control only
Usually           seizure. A simple or          Loss of
                                                                                                       recently achieved for three          •   Mileage and road exposure
originates in a   complex partial seizure can   consciousness.       Maximum: Uncontrollable,
specific focal    both progress to a                                 frequent episodes of partial or
                                                                                                       months.                              •   Sleep deprivation. This could
point in the      secondarily generalized       Prolonged post-      total loss of consciousness.      Medical Prob. III: Stable and            be caused by illness, studying
brain. These      seizure.                      seizure confusion.                                     controlled for six months or             for finals, insomnia, newborn,
seizures spread                                                                                        longer with potential for                etc.
gradually or                                                                                           instability due to contributing      •   Drug abuse (prescribed or
suddenly.                                                                                              factors.                                 illicit)
                                                                                                       Suspension: Condition not            •   Etiology
                                                                                                       controlled and could affect the
                                                                                                       driver’s ability to safely operate   •   Change in medical regimen
                                                                                                       a motor vehicle.
                                                                                                                                            •   Adverse side effects to
                                                                                                       Revocation: Condition not likely         anticonvulsant medications.
                                                                                                       to ever be brought under control.        This could include dizziness,
                                                                                                                                                weakness, tremors, or lack of
                                                                                                                                                alertness and coordination
                                                                                                                                                contributing to poor reaction
                                                                                                                                                time when driving.
                                                                                                                                            •   Driver’s reliability and
                                                                                                                                                compliance with prescribed
                                                                                                                                                medical regimen. A person’s
                                                                                                                                                positive attitude toward
                                                                                                                                                understanding and accepting
                                                                                                                                                his/her epileptic condition will
                                                                                                                                                enhance his/her ability to
                                                                                                                                                achieve adequate control of the
                                                                                                                                                condition.
                                                                                                                                            •   History of noncompliance with
                                                                                                                                                prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines                   LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                   Page 4.6

                                                        Functional
Seizure Type               Definition                  Impairment               Severity Range                  Range of Actions                   Contributing Factors
Absence (Petit    Characterized by a lapse of       Loss of            Minimum: Seizures are well        No Action: Condition is stable       •   Alcohol consumption
mal)              consciousness which begins        consciousness or   controlled with or without        and controlled for an adequate
                  and ends abruptly without         awareness of       medication with no adverse side   period of time.                      •   Evidence of driving under
Usually           any post-seizure confusion.       surroundings.      effects.                                                                   stressful or fatiguing situations
                                                                                                         Medical Prob. II: Control only
originates in a                                     Begins and ends
                                                                                                         recently achieved for three          •   Mileage and road exposure
specific focal    These seizures are                abuptly.           Maximum: Uncontrollable
point in the      sometimes manifested by                              frequent episodes of loss of
                                                                                                         months.                              •   Sleep deprivation. This could
brain. These      staring spells, lip smacking,                        consciousness.                    Medical Prob. III: Stable and            be caused by illness, studying
seizures spread   interrupted speaking. Also                                                             controlled for six months or             for finals, insomnia, newborn,
gradually or      described a momentary                                Frequent inability to respond     longer with potential for                etc.
suddenly.         trance.                                              appropriately and rapidly to      instability due to contributing      •   Drug abuse (prescribed or
                                                                       traffic situations.               factors.                                 illicit)
                  Absence seizures must be
                                                                                                         Suspension: Condition not            •   Etiology
                  distinguished from complex
                                                                                                         controlled and could affect the
                  partial seizures, the latter of                                                                                             •   Change in medical regimen
                                                                                                         driver’s ability to safely operate
                  which are prolonged and
                                                                                                         a motor vehicle.
                  have post-seizure confusion.                                                                                                •   Adverse side effects to
                                                                                                         Revocation: Condition not likely         anticonvulsant medications.
                                                                                                         to ever be brought under control.        This could include dizziness,
                                                                                                                                                  weakness, tremors, or lack of
                                                                                                                                                  alertness and coordination
                                                                                                                                                  contributing to poor reaction
                                                                                                                                                  time when driving.
                                                                                                                                              •   Driver’s reliability and
                                                                                                                                                  compliance with prescribed
                                                                                                                                                  medical regimen. A person’s
                                                                                                                                                  positive attitude toward
                                                                                                                                                  understanding and accepting
                                                                                                                                                  his/her epileptic condition will
                                                                                                                                                  enhance his/her ability to
                                                                                                                                                  achieve adequate control of the
                                                                                                                                                  condition.
                                                                                                                                              •   History of noncompliance with
                                                                                                                                                  prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines                LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                       Page 4.7

                                                     Functional
 Seizure Type               Definition              Impairment                 Severity Range                    Range of Actions                   Contributing Factors
Tonic Clonic      Convulsion, characterized      Involuntary          Minimum: Seizures are well          No Action: Condition is stable       •   Alcohol consumption
(Grand mal)       by stiffening and jerking of   repetitive           controlled with or without          and controlled for an adequate
                  the whole body.                movements.           medication with no adverse side     period of time.                      •   Evidence of driving under
Usually                                                               effects.                                                                     stressful or fatiguing situations
                                                                                                          Medical Prob. II: Control only
originates in a                                  Loss of
                                                                                                          recently achieved for three          •   Mileage and road exposure
specific focal                                   consciousness.       Maximum: Uncontrollable,
point in the                                                          frequent episodes of loss of
                                                                                                          months.                              •   Sleep deprivation. This could
brain. These                                     Prolonged post       consciousness in conjunction with   Medical Prob. III: Stable and            be caused by illness, studying
seizures spread                                  seizure confusion.   convulsive movement.                controlled for six months or             for finals, insomnia, newborn,
gradually or                                                                                              longer with potential for                etc.
suddenly.                                                                                                 instability due to contributing      •   Drug abuse (prescribed or
                                                                                                          factors.                                 illicit)
                                                                                                          Suspension: Condition not            •   Etiology
                                                                                                          controlled and could affect the
                                                                                                          driver’s ability to safely operate   •   Change in medical regimen
                                                                                                          a motor vehicle.
                                                                                                                                               •   Adverse side effects to
                                                                                                          Revocation: Condition not likely         anticonvulsant medications.
                                                                                                          to ever be brought under control.        This could include dizziness,
                                                                                                                                                   weakness, tremors, or lack of
                                                                                                                                                   alertness and coordination
                                                                                                                                                   contributing to poor reaction
                                                                                                                                                   time when driving.
                                                                                                                                               •   Driver’s reliability and
                                                                                                                                                   compliance with prescribed
                                                                                                                                                   medical regimen. A person’s
                                                                                                                                                   positive attitude toward
                                                                                                                                                   understanding and accepting
                                                                                                                                                   his/her epileptic condition will
                                                                                                                                                   enhance his/her ability to
                                                                                                                                                   achieve adequate control of the
                                                                                                                                                   condition.
                                                                                                                                               •   History of noncompliance with
                                                                                                                                                   prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines           LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                       Page 4.8

                                                Functional
 Seizure Type             Definition           Impairment                 Severity Range                    Range of Actions                   Contributing Factors
Tonic            Muscle stiffening or       Involuntary          Minimum: Seizures are well          No Action: Condition is stable       •   Alcohol consumption
                 sustained contraction.     repetitive           controlled with or without          and controlled for an adequate
                                            movements. Loss      medication with no adverse side     period of time.                      •   Evidence of driving under
                                            of consciousness.    effects.                                                                     stressful or fatiguing situations
Clonic           Repetitive jerking of      Prolonged post-                                          Medical Prob. II: Control only       •   Mileage and road exposure
                 muscles.                   seizure confusion.   Maximum: Uncontrollable             recently achieved for three
                                                                 frequent episodes of loss of        months.                              •   Sleep deprivation. This could
                                                                 consciousness in conjunction with                                            be caused by illness, studying
                                                                                                     Medical Prob. III: Stable and            for finals, insomnia, newborn,
                                                                 convulsive movement.
                                                                                                     controlled for six months or             etc.
Atonic           Loss of muscle tone.       Sudden loss of       Minimum: Seizures are well          longer with potential for            •   Drug abuse (prescribed or
                                            muscle tone.         controlled with or without          instability due to contributing          illicit)
                                            Cannot maintain      medication with no adverse side     factors.
                                            posture. Will have   effects.                                                                 •   Etiology
                                                                                                     Suspension: Condition not
                                            drop attacks.
                                                                                                     controlled and could affect the      •   Change in medical regimen
                                                                 Maximum: Uncontrollable
                                                                 frequent drop attacks.
                                                                                                     driver’s ability to safely operate   •   Adverse side effects to
                                                                                                     a motor vehicle.                         anticonvulsant medications.
                                                                                                     Revocation: Condition not likely         This could include dizziness,
                                                                                                     to ever be brought under control.        weakness, tremors, or lack of
                                                                                                                                              alertness and coordination
                                                                                                                                              contributing to poor reaction
                                                                                                                                              time when driving.
                                                                                                                                          •   Driver’s reliability and
                                                                                                                                              compliance with prescribed
                                                                                                                                              medical regimen. A person’s
                                                                                                                                              positive attitude toward
                                                                                                                                              understanding and accepting
                                                                                                                                              his/her epileptic condition will
                                                                                                                                              enhance his/her ability to
                                                                                                                                              achieve adequate control of the
                                                                                                                                              condition.
                                                                                                                                          History of noncompliance with
                                                                                                                                          prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines               LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                       Page 4.9

                                            Functional
Seizure Type           Definition          Impairment               Severity Range                           Range of Actions                      Contributing Factors
Myoclonic         Rhythmic muscle       Rhythmic muscle      Minimum: Seizures are well        No Action: Seizures are stable and             •   Alcohol consumption
                  contractions,         contractions,        controlled with or without        controlled or are ongoing seizures, i.e.,
Usually           twitching or spasm.   twitching or spasm   medication with no adverse        twitch, but do not affect driving.             •   Evidence of driving under
originates in a                         with no loss of      side effects.                                                                        stressful or fatiguing situations
                                                                                               Medical Prob. II: Control only recently
specific focal                          consciousness.
                                                                                               achieved for three months.                     •   Mileage and road exposure
point in the                                                 Maximum: Frequent muscle
brain. These                                                 jerks which would interfere       Medical Prob. III: Stable and controlled for   •   Sleep deprivation. This could
seizures spread                                              with driving ability.             six months or longer with potential for            be caused by illness, studying
gradually or                                                                                   instability due to contributing factors.           for finals, insomnia, newborn,
suddenly.                                                                                                                                         etc.
                                                                                               Suspension: Condition not controlled and
                                                                                               could affect the driver’s ability to safely    •   Drug abuse (prescribed or
                                                                                               operate a motor vehicle.                           illicit)

                                                                                               Revocation: Condition not likely to ever be    •   Etiology
                                                                                               brought under control.                         •   Change in medical regimen
                                                                                                                                              •   Adverse side effects to
                                                                                                                                                  anticonvulsant medications.
                                                                                                                                                  This could include dizziness,
                                                                                                                                                  weakness, tremors, or lack of
Nocturnal         Recurrent seizures    These seizures       Not applicable. If nocturnal      Medical Prob. II: No seizure-free period is    •   alertness and coordination
                  that occur during     occur during sleep   seizures develop into diurnal     required to place the driver on probation          contributing to poor reaction
                  sleep.                only.                seizures, refer to seizure type   when seizures are nocturnal only. These            time when driving.
                                                             for severity ranges.              drivers should be monitored by probation.
                                                                                                                                              •   Driver’s reliability and
                                                                                               Medical Prob. III: If a driver has been on         compliance with prescribed
                                                                                               Medical Probation Type II for at least six         medical regimen. A person’s
                                                                                               months, and no further seizure activity has        positive attitude toward
                                                                                               occurred, conversion to Probation Type III         understanding and accepting
                                                                                               is appropriate.                                    his/her epileptic condition will
                                                                                               Suspension:Not necessary for nocturnal             enhance his/her ability to
                                                                                               seizures.                                          achieve adequate control of the
                                                                                                                                                  condition.
                                                                                               Revocation: Not necessary for nocturnal
                                                                                               seizures.                                      •   History of noncompliance with
                                                                                                                                                  prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines                LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                    Page 4.10

                                                     Functional
 Seizure Type             Definition                Impairment                  Severity Range                   Range of Actions                 Contributing Factors
Syncope          Fainting or loss of             Loss of conscious-   Minimum: Condition causing          No Action: Single episode          •   Alcohol consumption
                 consciousness due to loss of    ness with loss of    syncope has been controlled and     symptomatic to another situation
                 cardiac output.                 muscle tone.         is not likely to recur while        which is unlikely to recur while   •   Evidence of driving under
                                                                      driving.                            driving:                               stressful or fatiguing situations
                 •   Situational: Cough,                                                                                                     •   Mileage and road exposure
                                                                                                          •   Situational (vasovagal): An
                     emotion or during                                Maximum: Condition causing
                     urination                                        syncope is uncontrollable
                                                                                                              example of this would be       •   Sleep deprivation. This could
                                                                                                              when a person faints at the        be caused by illness, studying
                     (micturitional).                                 resulting in frequent episodes of
                                                                                                              sight of blood.                    for finals, insomnia, newborn,
                                                                      loss of consciousness.
                 •   Cardiogenic decrease of                                                              •   Cardiogenic: Disorder              etc.
                     cardiac output                                                                           controlled as determined by    •   Drug abuse (prescribed or
                     secondary to a rhythm                                                                    the physician.                     illicit)
                     disturbance or failed
                     pump.
                                                                                                          Medical Prob. II: Control only     •   Etiology
                                                                                                          recently achieved for three
                                                                                                          months.                            •   Change in medical regimen
                 •   Vasovagal or
                     vasodepressor:                                                                       Medical Prob. III: Stable and      •   Adverse side effects to
                     Precipitated by fright or                                                            controlled for six months or           medications.
                     pain.                                                                                longer with potential for          •   Driver’s reliability and
                                                                                                          instability due to contributing        compliance with prescribed
                                                                                                          factors.                               medical regimen. A person’s
                                                                                                          Suspension: Fainting likely to         positive attitude toward
                                                                                                          recur because precipitating            understanding and accepting
                                                                                                          condition is not controlled.           his/her epileptic condition will
                                                                                                                                                 enhance his/her ability to
                                                                                                          Revocation: Precipitating              achieve adequate control of the
                                                                                                          condition not likely to ever be        condition.
                                                                                                          brought under control.
                                                                                                                                             •   History of noncompliance with
                                                                                                                                                 prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines                   LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                         Page 4.11

                                                       Functional
Seizure Type               Definition                 Impairment                    Severity Range                     Range of Actions                   Contributing Factors
Narcolepsy       A condition in which there        Cataplexy: Loss        Minimum: Condition causing           No Action: Stable and controlled      •   Alcohol consumption
                 is sudden loss of muscle          of muscular tone       Cataplexy has been controlled and    so that it does not affect driving.
Cataplexy        tone following emotional          and inability to       is not likely to recur. Daytime                                            •   Evidence of driving under
                                                                                                               Medical Prob. II: Control only            stressful or fatiguing situations
                 change or shock.                  maintain posture.      sleepiness is controlled.
                                                                                                               recently achieved for three
Sleep Apnea                                        Drop attacks.
                                                                                                               months.                               •   Mileage and road exposure
                 Cataplexy may cause a                                    Maximum: Uncontrolled episode
Other Sleep      person to fall to the floor but   Narcolepsy:            of loss of awareness of              Medical Prob. III: Stable and         •   Drug abuse (prescribed or
Disorders        consciousness will not be         Excessive daytime      surroundings.                        controlled for six months or              illicit)
                 lost. Usually seen in             sleepiness.                                                 longer with potential for             •   Etiology
                 narcolepsy.                                              Loss of feeling in limbs, hands,     instability due to contributing
                                                   Sleep Apnea:           and feet or muscular control is      factors.                              •   Change in medical regimen
                                                   Excessive daytime      affected to the point that                                                 •   Adverse side effects to
                                                                                                               Suspension: Uncontrolled
                                                   sleepiness.            maneuvering vehicle is difficult.                                              medications.
                                                                                                               pathological sleep which could
                                                   Uncontrollable
                                                                                                               affect the ability to safely
                                                   urge to sleep at       Inability to maintain posture;                                             •   Driver’s reliability and
                                                                                                               operate a motor vehicle.
                                                   irregular intervals.   extreme muscular weakness which                                                compliance with prescribed
                                                                          impairs one’s ability to operate a   Revocation: Condition not likely          medical regimen. A person’s
                                                                          motor vehicle.                       to ever be brought under control.         positive attitude toward
                                                                                                                                                         understanding and accepting
                                                                                                                                                         his/her epileptic condition will
                                                                                                                                                         enhance his/her ability to
                                                                                                                                                         achieve adequate control of the
                                                                                                                                                         condition.
                                                                                                                                                     •   History of noncompliance with
                                                                                                                                                         prior medical probation




Rev. 2-99
Physical and Mental Conditions Guidelines                LAPSE OF CONSCIOUSNESS CONSOLIDATION TABLE                                                                    Page 4.12

                                                    Functional
 Seizure Type             Definition               Impairment                  Severity Range                        Range of Actions             Contributing Factors
Symptomatic      Seizures resulting from a       See episode type.    Minimum: Episodes are limited to       Refer to the type of seizures   •   Alcohol consumption
                 known structural brain                               a few seconds with no loss of          experienced.
                 abnormality or other                                 consciousness. Loss of muscular                                        •   Evidence of driving under
                 medical conditions such as                           control and coordination must be                                           stressful or fatiguing situations
                 severe sleep deprivation,                            minimal. Awareness of the                                              •   Mileage and road exposure
                 brain tumor, stroke*, or                             environment must not be lost.
                 pregnancy.                                                                                                                  •   Drug abuse (prescribed or
                                                                      Maximum: Loss of muscle control                                            illicit)
                 *NOTE: When a person                                 and/or awareness of the                                                •   Etiology
                 experiences a lapse of                               environment.
                 consciousness due to a                                                                                                      •   Change in medical regimen
                 stroke, there may be residual                                                                                               •   Adverse side effects to
                 multi-infarct dementia.                                                                                                         medications.
                 Refer to the section on
                 Dementia.                                                                                                                   •   Driver’s reliability and
Metabolic        Seizures resulting from         See seizure type     Minimum: Episodes are limited to       Refer to the type of seizure        compliance with prescribed
                 imbalanced chemical and                              a few seconds and no loss of           experienced.                        medical regimen. A person’s
                 physical processes occurring                         consciousness is experienced.                                              positive attitude toward
                 in the body. For example:                            Loss of muscular control and                                               understanding and accepting
                 • Hypoglycemia: Low                                  coordination must be minimal to                                            his/her epileptic condition will
                      blood sugar                                     the point that physical control of a                                       enhance his/her ability to
                 • Hyponatremia: Low                                  motor vehicle can be maintained.                                           achieve adequate control of the
                      blood sugar                                     Awareness of the environment                                               condition.
                 • Hypoxia: Low levels of                             must not be lost.
                                                                                                                                             •   History of noncompliance with
                      oxygen                                                                                                                     prior medical probation
Toxic            Substance abuse involving:      Interference with    Same as Symptomatic.                   Refer to the type of seizure
                 1. Alcohol withdrawal           awareness and                                               experienced.
                 2. Drug use (illicit or         muscular control
                     prescribed)                 or coordination or
                                                 possible loss of
                                                 consciousness.




Rev. 2-99

								
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