All of the
advice below is relevant to Group 1 entitlement ( Domestic
vehicles)
What do I
do about driving?
The DVLA are concerned about patients with neurological problems
who have a chance of an epileptic seizure, or may have difficulties
driving due to difficulties using the controls or poor vision
If you have a disability that may affect you ability to drive, or
you have had an operation that may lead to your license being
suspended, it is your responsibility as the patient to inform the
DVLA. Details are here
The information below is only a guide, if you have any doubts then
please contact my secretary, or the DVLA directly
Spinal
Surgery
Generally, most patients having spinal surgery will not need to
contact the DVLA before or after their operation
Exceptions to this are rare occasions when you may have a problem
with the strength or feeling in your arms or legs which makes it
difficult to operate the steering and the pedals, especially the
brake pedal, effectively.
For patients having lumbar microdiscectomy or laminectomy you can
drive when you feel comfortable, and confident enough to operate a
vehicle. Generally it is a good idea to avoid driving for a few
days after surgery.
For patients having anterior cervical spine surgery including a
fusion, you can drive as soon as your neck is sufficiently mobile
to allow you to look side to side. As a general rule I allow
patients to drive 2 weeks after surgery. There are no fixed
guidelines about this, and some surgeons will ask you to stop
driving for upto 6 weeks after surgery. This includes patients who
wish to wear a soft collar for support.
If you have been given a rigid collar to wear after surgery then
you should not drive until the collar is removed, this is because
the collar limits you mobility, and the collar is there for a
reason, namely to aid fusion of the bone at the operation
site.
Posterior cervical surgery such as microforamenotomy and
laminectomy means you neck will be slightly stiff for a few weeks.
Once again you can drive when your neck is sufficiently mobile to
allow you to look side to side, and you are able to safely operate
the vehicle
Craniotomy
In the past the DVLA insisted that all patients having a craniotomy
had their license suspended for 1 year or more
These rules have changed and depend on the nature of your
diagnosis, whether you have had a seizure, and whether you have any
disabilities as a result of the underlying problem. It is best to
discuss the issue of driving with your consultant, sometimes you
have to let the DVLA know if you are not sure.
As a general rule, if you have never had a seizure, and don't have
severely impaired vision or a severe disability then the following
guidlines apply
Craniotomy for meningioma 6-12 months no
driving
Craniotomy for pituitary tumour Drive when
recovered
Posterior fossa benign tumour Drive when
recovered
Craniotomy for malignant tumour 2 years no driving, possibly
longer
For a more complete list there is a table at the DVLA website which
is meant for medical professionals only
Pituitary
Surgery
Because abnormalities of the pituitary gland can often cause
impaired vision, a formal visual assessment may be required before
you are allowed to drive. Usually a severe visual problem affecting
both eyes will prevent you from driving. You should contact the
DVLA at the link above and a formal visual field assessment will be
performed, together with a report from your consultant.
If you have had no seizures, and don't have a severe visual problem
then the following apply
Transsphenoidal resection of pituitary tumour Drive when
recovered
Craniotomy for pituitary tumour Drive when
recovered