Neurológia pre prax 5/2023

Fitness to drive in Parkinson's disease: current issues

Parkinson‘s disease (PD) is a very common progressive disease and driving is a demanding and complex activity that requires the interplay of cognitive and psychomotor functions, good planning, memory, attention and eye-hand-foot coordination. The decision to be unable to drive is of paramount importance to the patient, but we must also keep road safety in mind. Patients with PD have a higher incidence of cognitive impairment and impaired mobility is also involved in driving problems. In addition, the incidence of excessive daytime sleepiness, which can be potentiated by medication, is a problem. Daytime sleepiness should be specifically asked about. At present, there are no uniform legal criteria to follow.

Keywords: Parkinson’s disease, excessive daytime sleepiness, driving