For a driver with a resolved cerebellar stroke, what should the certification decision be?

When considering the certification decision for a driver who has experienced a resolved cerebellar stroke, the appropriate choice is to certify for 1 year. This decision reflects the understanding that a cerebellar stroke can impact a driver's neuromuscular coordination and balance, which are crucial for safe driving.

In the case of a resolved condition, it indicates that the individual has regained their health and functionality to a satisfactory level, allowing them to perform driving tasks. However, the 1-year certification serves as a precaution, enabling further monitoring of the individual's health after the stroke. By certifying for a shorter term, it allows medical professionals to reassess the driver's condition more frequently, ensuring ongoing safety on the road.

This approach balances the need for drivers to participate in economic and social activities, while still emphasizing the importance of safety for both the driver and the public. A longer certification period or outright disqualification would be unwarranted given that the condition has resolved. Furthermore, requiring a head CT for evaluation may not be necessary if the individual has demonstrated stable health status post-stroke.