Coronial
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Coroner's Finding: HOGAN Constance Mary

Deceased

Constance Mary Hogan

Demographics

73y, female

Date of death

2012-05-05

Finding date

2014-11-28

Cause of death

general inanition due to dysphagia on a background of multiple neurological and psychiatric diagnoses

AI-generated summary

A 73-year-old woman with bipolar disorder, alcohol abuse history, and multiple medical comorbidities presented with stroke-like symptoms in March 2012. Neuroimaging was unrevealing. She was detained under the Mental Health Act due to concerns about oral intake and anticipated non-cooperation with treatment. Despite appropriate supportive care including nasogastric feeding and intravenous hydration, she developed progressive neurological deterioration with dysphagia and eventually died from general inanition. The coroner found her treatment appropriate and detention lawful. Key lesson: complex neurological presentations with non-specific findings require multidisciplinary assessment; appropriate supportive care and family discussions regarding goals of care were evident in this case.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

neurologypsychiatrygeneral medicineinfectious diseases

Clinical conditions

dysphagiastroke-like symptomssuspected degenerative neurological conditionbipolar disorderhypernatraemialung infectiondiabetesalcohol abuse history

Procedures

nasogastric feedingintravenous hydrationCT imagingMRI imaging

Contributing factors

  • progressive neurological deterioration
  • dysphagia
  • inability to maintain oral intake
  • undiagnosed or suspected degenerative neurological condition
  • lung infection
Full text

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