Disobedience and driving in patients with epilepsy

► Two hundred eighty-seven consecutive patients were surveyed about driving practices at an epilepsy clinic in Florida. ► Two hundred thirty-six were analyzed to assess violators (illegal) and intentionally defiant (disobedient) drivers. ► More than 60% of the patients were ineligible to drive because of seizures, yet 23.8% were doing even though 73.3% had been informed of the law. ► Eleven and nine-tenths percent were defiant, with anger as the most common initial reaction to restriction in contrast to sadness expressed by others. ► Disobedient illegal drivers with seizures do not represent people with seizures as a group and may be predicted.