Abstract
The possibility of linking brain anatomy with aspects of the driving task is reviewed in relation to diseases such as epilepsy, dementia and lesions in different areas of the brain. It is shown that the relationship between impairments and driving skills is not a simple negative one. Some drivers with traumatic brain damage or stroke demonstrate sufficient or even good driving skills and many drivers in the early stages of Alzheimer's disease have sufficient driving skills. Experience may compensate for brain damage, especially if the driver is aware of his/her deficits. It is considered that marked deficits at the operational level combined with negative personality changes present a considerable risk.