How do you approach a truck driver/commercial driver's license holder who experiences migraine with visual aura?  

There are many aspects of migraine with the potential to influence driving. This includes visual aura, cognitive issues, particularly during the prodrome and headache phases, as well as vestibular symptoms, and sensitivity to light, sound, and movement. Nausea, vomiting, and medication side effects ...

In order to answer this question, more information is needed. How often do the migraines with visual aura attacks occur? How long do the visual auras last? Are they always unilateral, as is generally the case? Are they associated with digitolingual paresthesias or speech disturbance? What about the ...

My answer is similar to my answer for driving and epilepsy. The most important issue to understand is what the rules are for a CDL. What is medically appropriate may not follow the CDL rules. However, my gestalt is whether a visual aura impacts driving. Some visual auras are quite mild and do not im...