Colin Vivian Cannon, a 45-year-old man with Lennox-Gastaut syndrome living in residential care, was found unresponsive and died from complications of his severe epilepsy. His seizures had increased in frequency and severity in early 2017. A neurologist prescribed lamotrigine, but his GP withheld sodium valproate due to mobility and mood side effects. On the day of death, Mr Cannon was fed solid foods (Easter egg and hot-cross bun) by staff. He was found unresponsive approximately one hour later. The forensic pathologist noted Lennox-Gastaut syndrome carries increased aspiration risk and likely death resulted from seizure or cardiac arrhythmia. Clinicians managing complex epilepsy in care settings should maintain careful seizure monitoring, document medication changes thoroughly, and ensure care staff are trained in recognising seizure activity and aspiration precautions.
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