Publications by authors named "Shona Scott"
Article Synopsis
- The study tracked the 2-year mortality and seizure recurrence rates in patients with status epilepticus (SE) identified over a one-year period in the Auckland region.
- Out of 367 identified patients, 335 were followed up, revealing a 2-year all-cause mortality rate of 14.9% and a seizure recurrence rate of 58.8%.
- Key findings indicated that younger patients, particularly preschoolers, and those with febrile SE had lower mortality, while older individuals and those with prolonged SE had higher mortality and recurrence rates.
Article Synopsis
- The study aimed to evaluate the effectiveness of the health care system in treating status epilepticus (SE) in Auckland, New Zealand, focusing on treatment patterns and outcomes.
- A total of 365 patients were evaluated, with notable findings including that over half had prior epilepsy, the average duration of SE was 44 minutes, and key factors affecting SE duration included early benzodiazepine administration.
- The results indicated lower-than-expected mortality rates and self-limiting cases of SE, while showing no disparities in treatment or outcomes across different ethnic groups, emphasizing the strengths of a universal health care system.
Pregnancy is a time of physical, physiological and psychological challenge. For women with epilepsy, as well as its potential for joy and fulfilment, pregnancy may bring additional risks and difficulties. Clinicians must anticipate and prevent these complications, ensuring that pregnancy, delivery and motherhood proceed without obstetric or medical complications, using available evidence to balance individual risks of undertreatment and overtreatment.
View Article and Find Full Text PDFIntroduction: It has been suggested for over 100 years that patterns of neurological symptoms and signs in functional neurological disorders may be shaped at a neural level by underlying ideas or preconceptions how neurological symptoms present. This study used experimental simulation to probe ideas about seizures in healthy volunteers, with a view to compare with features commonly observed in functional and epileptic seizure disorders.
Methods: Sixty healthy volunteers were instructed to simulate an epileptic seizure.
Aim: Sudden unexpected death in epilepsy (SUDEP) is well recognised and widely reported but remains poorly understood. SUDEP in young adults is 27 times more common than sudden death in control populations. The incidence of SUDEP in New Zealand is not known but up to 40 people with epilepsy may die from SUDEP every year.
View Article and Find Full Text PDFObjective: To determine the incidence, etiology, and outcome of status epilepticus (SE) in Auckland, New Zealand, using the latest International League Against Epilepsy (ILAE) SE semiological classification.
Methods: We prospectively identified patients presenting to the public or major private hospitals in Auckland (population = 1.61 million) between April 6, 2015 and April 5, 2016 with a seizure lasting 10 minutes or longer, with retrospective review to confirm completeness of data capture.
The EpiNet project has been commenced to facilitate investigator-led collaborative research in epilepsy. A new Web-based data collection tool has been developed within EpiNet to record comprehensive data regarding status epilepticus and has been used for a study of status epilepticus in Auckland, New Zealand. All patients aged >4 weeks who presented to any of the five public hospitals and the major private hospital within Auckland city (population = 1.
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