Undetermined; possible sudden unexpected death in epilepsy (SUDEP) with competing causes including gastrointestinal haemorrhage, chronic pancreatitis, tuberculosis, and hepatitis C infection
AI-generated summary
Sean Erwin Mansell, aged 57, was found deceased in his home in Kingston, Tasmania on 24 November 2021. The cause of death could not be determined but was possibly sudden unexpected death in epilepsy (SUDEP), with competing contributing factors including gastrointestinal haemorrhage, chronic pancreatitis, tuberculosis, and hepatitis C infection. Mr Mansell had a history of acquired brain injury from a 2015 assault requiring craniectomy, alcohol dependence with withdrawal seizures, and was on valproic acid (anticonvulsant). Post-mortem examination was non-invasive per family request. Clinical lessons include recognising SUDEP risk in patients with epilepsy from acquired brain injury and alcohol-related complications, and considering multiple comorbidities in vulnerable populations with chronic disease.
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Specialties
forensic medicineneurologyinfectious diseases
Drugs involved
sodium valproatecannabis
Clinical conditions
sudden unexpected death in epilepsyepilepsytraumatic brain injuryalcohol dependencealcohol withdrawal seizuregastrointestinal haemorrhagechronic pancreatitistuberculosishepatitis Ccraniectomy
Contributing factors
acquired brain injury from 2015 assault with craniectomy
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