How do you approach driving clearance when someone has an RNS that is showing seizure activity, but neither the patient nor the patient's family is reporting seizures?  

One thing to consider is that, depending on the underlying cause of epilepsy, the patient may experience subtle or pronounced cognitive impairments that could pose a risk while operating a motor vehicle, both to themselves and others. This risk may be higher for patients with an RNS device implanted...

The answer may vary depending on the state, but from what I know, most states operate similarly. The determining factor isn't whether or not you're experiencing a seizure but whether you are having driving-impairing events. Therefore, the specific findings detected by the RNS (such as repetitive spi...