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Karen Secore, MS, APRN, CNRN
Nurse Practitioner and Instructor of Medicine
Dartmouth-Hitchcock Epilepsy Center
Neurology
One Medical Center Drive
Lebanon, NH 03756
Karen.L.Secore@hitchcock.org

Karen Secore, MS APRN is currently a Nurse Practitioner and Instructor of Medicine at the Dartmouth-Hitchcock Epilepsy Center in Lebanon, New Hampshire.   She assisted in the development of the Dartmouth-Hitchcock Epilepsy Center since its inception in 1991 and developed the educational materials for nursing staff and patients participating in the program as well as policies and procedures of the inpatient epilepsy monitoring unit.  She has served on committees with the American Epilepsy Society regarding safety in the Epilepsy Monitoring Units and the Practice Committee.  She has participated in multiple research studies and publications in the field of epilepsy and particularly in areas such as status epilepticus, ictal SPECT, hypnosis and a variety of clinical trials.

Karen received the Nursing Spectrum Nurse Excellence Award in 2005 as a regional winner for Advancing the Profession. She also received the Deborah Miller Advanced Practice Award in 2009 at Dartmouth-Hitchcock Epilepsy Center for her work in the epilepsy program.

She is part of the team at the Geisel School of Medicine at Dartmouth who are developing HOBSCOTCH (HOme Based Self-management & COgnitive Training CHanges lives), a program that uses self-management strategies and cognitive training on a commercially available gaming console (BrainAge® , Nintendo, Inc. ) to improve subjective and objective memory function in patients in epilepsy. At the Geisel School of Medicine at Dartmouth there is great interest in public health research and Dr. Jobst works closely together with The Dartmouth Institute and the Prevention Research Center at Dartmouth to implement programs such a HOBSCOTCH to a broad rural patient population.

Selected publications:

Lazow SP, Thadani VM, Gilbert KL, Morse RP, Bujarski KA, Kulandaivel K, Roth RM, Scott RC, Roberts DW, Jobst BC. (2012) Outcome of frontal lobe epilepsy surgery. Epilepsia 2012; 53; published online 10 Jul 2012

Wheeler M, De Herdt V, Vonck K, Gilbert K, Manem S, Mackenzie T, Jobst BC, Roberts D, Williamson P, Van Roost D, Boon P, Thadani V. (2011). Efficacy of vagus nerve stimulation for refractory epilepsy among patient subgroups: A re-analysis using the Engel classification. Seizure; 20(4):331-5.

Desai A, Jobst BC, Thadani VM, Bujarski KA, Gilbert KL, Darcey TM, Roberts DW. (2011) Stereotactic depth electrode investigation of the insula in the evaluation of medically intractable epilepsy. Journal of Neurosurgery: 114 (4): 1176-86.

Gilbert K. (2011) "Seizure Disorders".  In: Buttaro TM, Trybulski J, Bailey PP and
Sandberg-Cook, (eds). Primary Care: A Collaborative Practice. Fourth Edition. Chicago: Mosby (2011).

Jobst BC, Williamson PD, Thadani VM, Gilbert KL, Holmes GL, Morse RP, Darcey TM, Duhaime AC, Bujarski KA, Roberts DW. (2010) Intractable Occipital Lobe Epilepsy: Clinical Characteristics and Surgical Treatment. Epilepsia: 51 (11): 2334-2337.

Buelow JM, Gilbert KL, Dean P, Miller W, Plueger M.(2010). "Epilepsy". In AANN Core Curriculum for NeuroscienceNursing. Bader MK and Littlejohns LR editors. Fifth Edition. St Louis: Saunders of Elsevier.

Gilbert K. (2007). "Seizure Disorders".  In: Buttaro TM, Trybulski J, Bailey PP and
Sandberg-Cook, (eds). Primary Care: A Collaborative Practice. Third Edition. Chicago: Mosby.

Thadani VM, Siegel A, Lewis P, Siegel AM, Jobst BC, Gilbert, KL, Darcy TM, Roberts DW, Williamson PD.(2004). Validation of ictal single photon emission computed tomography with depth encephalography and epilepsy surgery. Neurosurg Rev; 27:27-33.

Buelow JM, Gilbert KL, Long L, Rossi-Maushard A. (2004). "Epilepsy". In AANN Core Curriculum for NeuroscienceNursing. Bader MK and Littlejohns LR editors. Fourth Edition. St Louis: Saunders of Elsevier.

Vonck K, Thadani VM, Gilbert KL, Boon P et al.(2004).  Vagus Nerve Stimulation for Refractory Epilepsy: A Transatlantic Experience. Journal of Clinical Neurophysiology.  21(4). 283-289.

Gilbert K. (2003). "Seizure in an Emergency Setting".  In: Buttaro TM, Trybulski J, Bailey PP and Sandberg-Cook, (eds). Primary Care: A Collaborative Practice. Second Edition. Chicago: Mosby

Lewis PJ, Siegel A, Siegel AM, Studholme C, Sojkova J, Roberts DW, Thadani VM, Gilbert KL, Darcey   TM Williamson PD.(2000). Does performing image registration and subtraction in ictal brain SPECT help localize neocortical seizures? J Nucl: Med 41 1619-1626.

Gilbert K. (1999). An algorithm for diagnosis and treatment of status epilepticus in adults. Journal of Neuroscience Nursing: 31 (1).

Thadani VM, Siegel AM, Darcey TM, Gilbert KL, Williamson PD, Roberts DW, Lewis PJ, Siegel A.(1999). Correlation of ictal SPECT, depth EEG and epilepsy surgery. Epilepsia 40 (Suppl. 7):154.

Gilbert KL & Thomson LR.( 1999). Nonepileptic Seizures: A Diagnostic Challenge. The Clinical Letter for Nurse Practitioners. November/December.  3 (6).

Gilbert KL, Siegel AM, Hagerty JM, McPhetres BE, Siegel AH, Williamson PD.(1997). Ictal SPECT: optimization of injection technique. Submitted and presented at the American Epilepsy Society Annual Meeting in Boston, MA Epilepsia  38 (Suppl. 8):229

Siegel AM, Thomson LR, Gilbert KL.(1997). Nonepileptic psychogenic seizures: criteria for accurate diagnosis. Submitted and presented at: American Epilepsy Society Annual Meeting; Boston, MA.  Epilepsia 38 (Suppl. 8):174

Rosenberg HJ, Rosenberg SD, Williamson PD, Gilbert KL, Baker BA, Berry RA. (1997). Trauma and PTSD in patients with psychogenic seizures and epilepsy. Submitted and presented at American Epilepsy Society Annual Meeting in Boston, MA. Epilepsia 38 (Suppl. 8):134.

Related MEW Publications

Caller TA, Secore KL, Ferguson RJ, Roth RM, Alexandre FP, Henegan PL, Harrington JJ, & Jobst JC. Design and feasibility of a memory intervention with focus on self-management for cognitive impairment in epilepsy. Epilepsy & Behavior 44 (2015): 192-194.
View  PubMed Abstract

Caller TA, Secore KL, Ferguson RJ, Roth RM, Secore KL, Alexandre FP, Zhao W, Tosteson T,Henegan PL, Birney K & Jobst JC.(2016). A cognitive-behavioral intervention (HOBSCOTCH) improves quality of life and attention in epilepsy: a pilot study.  Epilepsy & Behavior, 57(Pt A):111-7.
doi: 10.1016/j.yebeh.2016.01.024


 

 

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