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Inquest Hears Missed SUDEP Warnings and Contested Drug Advice Before Megan Gardiner’s Death

The case raises questions about whether clinicians gave clear, tailored warnings about sudden death risk in epilepsy.

Overview

  • An inquest into the June 2022 death of Megan Gardiner, 25 and 17 weeks pregnant, heard she and her family were never given a specific, tailored talk about her risk of sudden unexpected death in epilepsy.
  • Epilepsy specialist Kim Morley testified that Gardiner had one of the most volatile forms of epilepsy with uncontrolled tonic-clonic seizures, which greatly increases SUDEP risk.
  • Morley criticized advice to reduce Gardiner’s zonisamide without adding or switching medication, while a health-board representative said the neurologist relied on MHRA pregnancy guidance that favors lowering doses during pregnancy.
  • Gardiner’s mother said they were not told about the danger of sleep seizures or that sleeping alone could raise risk, adding she would have co-slept or used monitors if warned.
  • Doctors had discussed sodium valproate when other drugs failed, which Gardiner declined due to fetal risks, and the inquest heard she may not have realized it was proposed as a short-term step; Professor Philip Smith said he would have more frank talks with patients in future and the hearing continues.