Coronial
VICcommunity

Finding into death of Janice King

Deceased

JANICE ANN KING

Demographics

45y, female

Date of death

2007-11-12

Finding date

2012-08-16

Cause of death

Epilepsy

AI-generated summary

45-year-old woman with chronic epilepsy and intellectual disability died following a prolonged seizure with cardiac arrest at a supported accommodation facility. She was found fitting, became unresponsive and apnoeic with asystolic arrest. Despite effective CPR and intensive care management including intubation and anti-seizure medication loading, she had severe hypoxic brain injury and limited neurological recovery. Blood levels of sodium valproate and phenytoin were subtherapeutic on admission. The Clinical Liaison Service found no identifiable association between cause of death and healthcare management. Key lesson: patients with recurrent seizures despite multiple anti-seizure medications require careful medication level monitoring and optimisation to prevent breakthrough seizures and potential SUDEP.

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

Contributing factors

  • Prolonged seizure with subsequent cardiac asystole
  • Subtherapeutic anti-seizure medication levels on ICU admission
  • History of recurrent seizures despite four anti-seizure medications
  • Severe hypoxic brain injury from prolonged arrest
  • 20-25 minutes arrest downtime prior to effective resuscitation
Full text

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