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Forensic Identification of a Traffic Accident Caused by Epilepsy: A Case Report

Received: 8 December 2022     Accepted: 3 January 2023     Published: 9 February 2023
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Abstract

Epileptic seizures have typical characteristics including the sudden arrest of movement and being transient and self-limiting, which will lead to corresponding restrictions on daily related behaviors and career choices of those with epilepsy, such as whether a driving license is revoked or its issuance is limited. In China, the patient of epilepsy is absolutely cannot drive a vehicle, this also is a content that of Road Traffic Safety Law of our country. In many U.S. states, a person must be seize-free for six months to a year to get a driver's license. In the UK, patients need to be symptom-free for at least a year before they can apply for a driving licence. Japan for epilepsy patients to apply for a driver's license requires drug control without disease for two years. So, the definition of epilepsy is crucial for drivers. In order to find out the root cause of the accident, this paper is committed to determining whether the driver had seizures that led to a severe traffic accident. The concept, diagnostic criteria, diagnostic elements, clinical classification and imaging results associated with epilepsy can be used to make a preliminary diagnosis of epileptic seizures. The onset of the disease plays a decisive role in judging the nature of traffic accidents.

Published in International Journal of Law and Society (Volume 6, Issue 1)
DOI 10.11648/j.ijls.20230601.20
Page(s) 70-75
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Forensic Identification, Epilepsy, Epileptic Seizures, Traffic Accident

References
[1] Fisher RS, Boas W, Blume W, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 2005, 46: 470–472.
[2] Li S, Hong Z. Clinical diagnosis and treatment guidelines. Epilepsy volume. Beijing, China: Public Health Press. 2015.
[3] Fisher RS, Cross JH, French JA, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017 Apr, 58 (4): 522-530. https://doi.org/10.1111/epi.13670.
[4] Xu Y, Zhou Z, Shanthosh J, et al. Who is driving and who is prone to have traffic accidents? A systematic review and meta-analysis among people with seizures. Epilepsy Behav. 2019 May, 94: 252-257. https://doi.org/10.1016/j.yebeh.2019.03.032.
[5] Harden J, Black R, Pickersgill M, et al. Children's understanding of epilepsy: A qualitative study. Epilepsy Behav. 2021 Jul, 120: 107994. https://doi.org/10.1016/j.yebeh.2021.107994.
[6] Park S, Majoka H, Sheikh A, et al. A presumed case of new-onset focal seizures as a delayed complication of COVID-19 infection. Epilepsy Behav Rep. 2021, 16: 100447. https://doi.org/10.1016/j.ebr.2021.100447.
[7] Rubio C, Luna R, Ibarra-Velasco M, et al. Epilepsy: A bibliometric analysis (1968-2020) of the Instituto Nacional de Neurologia y Neurocirugia "Manuel Velasco Suarez" in Mexico. Epilepsy Behav. 2021 Feb, 115: 107676. https://doi.org/10.1016/j.yebeh.2020.107676.
[8] Fahed M, Ramanathan S. Psychoses of Epilepsy in Pregnancy: A Case Report. Clin Psychopharmacol Neurosci. 2021 May 31, 19 (2): 388-390. https://doi.org/10.9758/cpn.2021.19.2.388.
[9] Maloney EM, Chaila E, O'Reilly EJ, et al. Incidence of first seizures, epilepsy, and seizure mimics in a geographically defined area. Neurology. 2020 Aug 4, 95 (5): e576-e590. https://doi.org/10.1212/WNL.0000000000009980.
[10] Qian R, Fu X. Prevention and management of epilepsy. Hefei, China: Anhui Science and Technology Press. 2018.
[11] Püschel K. Forensic medical aspects of traffic accident reconstruction. Journal of Local and Global Health Science. 2015, (2). https://doi.org/10.5339/jlghs.2015.itma.94.
[12] Neal A, Carne R, Odell M, et al. Characteristics of motor vehicle crashes associated with seizure: Car crash semiology. Neurology. 2018 Sep 18, 91 (12): e1102-e1111. https://doi.org/10.1212/WNL.0000000000006208.
[13] Kang JY, Mintzer S. Driving and Epilepsy: a Review of Important Issues. Curr Neurol Neurosci Rep. 2016 Sep, 16 (9): 80. https://doi.org/10.1007/s11910-016-0677-y.
[14] Willems LM, Reif PS, Knake S, et al. Noncompliance of patients with driving restrictions due to uncontrolled epilepsy. Epilepsy Behav. 2019 Feb, 91: 86-89. https://doi.org/10.1016/j.yebeh.2018.04.008.
[15] Schulz J, Beicher A, Mayer G, et al. Counseling and social work for persons with epilepsy: observational study on demand and issues in Hessen, Germany. Epilepsy Behav. 2013 Sep, 28 (3): 358-62. https://doi.org/10.1016/j.yebeh.2013.05.027.
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  • APA Style

    Hongxia Hao, Dong Gao, Yibin Cheng, Jiemin Chen, Yahui Wang, et al. (2023). Forensic Identification of a Traffic Accident Caused by Epilepsy: A Case Report. International Journal of Law and Society, 6(1), 70-75. https://doi.org/10.11648/j.ijls.20230601.20

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    ACS Style

    Hongxia Hao; Dong Gao; Yibin Cheng; Jiemin Chen; Yahui Wang, et al. Forensic Identification of a Traffic Accident Caused by Epilepsy: A Case Report. Int. J. Law Soc. 2023, 6(1), 70-75. doi: 10.11648/j.ijls.20230601.20

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    AMA Style

    Hongxia Hao, Dong Gao, Yibin Cheng, Jiemin Chen, Yahui Wang, et al. Forensic Identification of a Traffic Accident Caused by Epilepsy: A Case Report. Int J Law Soc. 2023;6(1):70-75. doi: 10.11648/j.ijls.20230601.20

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  • @article{10.11648/j.ijls.20230601.20,
      author = {Hongxia Hao and Dong Gao and Yibin Cheng and Jiemin Chen and Yahui Wang and Wentao Xia},
      title = {Forensic Identification of a Traffic Accident Caused by Epilepsy: A Case Report},
      journal = {International Journal of Law and Society},
      volume = {6},
      number = {1},
      pages = {70-75},
      doi = {10.11648/j.ijls.20230601.20},
      url = {https://doi.org/10.11648/j.ijls.20230601.20},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijls.20230601.20},
      abstract = {Epileptic seizures have typical characteristics including the sudden arrest of movement and being transient and self-limiting, which will lead to corresponding restrictions on daily related behaviors and career choices of those with epilepsy, such as whether a driving license is revoked or its issuance is limited. In China, the patient of epilepsy is absolutely cannot drive a vehicle, this also is a content that of Road Traffic Safety Law of our country. In many U.S. states, a person must be seize-free for six months to a year to get a driver's license. In the UK, patients need to be symptom-free for at least a year before they can apply for a driving licence. Japan for epilepsy patients to apply for a driver's license requires drug control without disease for two years. So, the definition of epilepsy is crucial for drivers. In order to find out the root cause of the accident, this paper is committed to determining whether the driver had seizures that led to a severe traffic accident. The concept, diagnostic criteria, diagnostic elements, clinical classification and imaging results associated with epilepsy can be used to make a preliminary diagnosis of epileptic seizures. The onset of the disease plays a decisive role in judging the nature of traffic accidents.},
     year = {2023}
    }
    

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    T1  - Forensic Identification of a Traffic Accident Caused by Epilepsy: A Case Report
    AU  - Hongxia Hao
    AU  - Dong Gao
    AU  - Yibin Cheng
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    AU  - Yahui Wang
    AU  - Wentao Xia
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    DO  - 10.11648/j.ijls.20230601.20
    T2  - International Journal of Law and Society
    JF  - International Journal of Law and Society
    JO  - International Journal of Law and Society
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    EP  - 75
    PB  - Science Publishing Group
    SN  - 2640-1908
    UR  - https://doi.org/10.11648/j.ijls.20230601.20
    AB  - Epileptic seizures have typical characteristics including the sudden arrest of movement and being transient and self-limiting, which will lead to corresponding restrictions on daily related behaviors and career choices of those with epilepsy, such as whether a driving license is revoked or its issuance is limited. In China, the patient of epilepsy is absolutely cannot drive a vehicle, this also is a content that of Road Traffic Safety Law of our country. In many U.S. states, a person must be seize-free for six months to a year to get a driver's license. In the UK, patients need to be symptom-free for at least a year before they can apply for a driving licence. Japan for epilepsy patients to apply for a driver's license requires drug control without disease for two years. So, the definition of epilepsy is crucial for drivers. In order to find out the root cause of the accident, this paper is committed to determining whether the driver had seizures that led to a severe traffic accident. The concept, diagnostic criteria, diagnostic elements, clinical classification and imaging results associated with epilepsy can be used to make a preliminary diagnosis of epileptic seizures. The onset of the disease plays a decisive role in judging the nature of traffic accidents.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, PR China

  • Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, PR China

  • Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, PR China

  • Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, PR China

  • Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, PR China

  • Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, PR China

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