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Updated: Mar 24, 2026

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Published on: June 21, 2019
The revised Swiss Guideline on epilepsy and driving introduces new criteria for diagnosing epilepsy, even after a single seizure. It also defines imminent and resolved epilepsy, impacting driving regulations for patients with varying seizure risk and history.
Area of Science:
- Neurology
- Public Health Policy
- Road Safety
Context:
- The Swiss Guideline for epilepsy and driving has undergone significant revisions.
- These changes reflect evolving diagnostic concepts and criteria for epilepsy.
- Recent updates in epilepsy definitions influence driving recommendations.
Purpose:
- To outline the revised Swiss Guideline concerning epilepsy and driving.
- To detail modifications in recommendations based on new epilepsy concepts.
- To provide updated guidance for clinicians and patients regarding driving eligibility.
Summary:
- The revised guideline incorporates the new International League Against Epilepsy (ILAE) definition, establishing epilepsy after a single seizure in some cases.
- A new concept of 'imminent epilepsy' identifies individuals at high risk for a first seizure.
- The guideline introduces 'resolved epilepsy' for long-term seizure-free patients and differentiates recommendations for provoked versus unprovoked seizures.
Impact:
- The updated guideline impacts driving regulations for individuals with epilepsy or at high risk of seizures.
- It clarifies criteria for driving eligibility, potentially allowing more long-term seizure-free patients to drive.
- The revisions aim to balance patient safety with the quality of life for individuals with epilepsy.
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