Coronial
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Finding into death of Angelina Alviano

Deceased

Angelina Alviano

Demographics

67y, female

Date of death

2018-07-05

Finding date

2019-08-06

Cause of death

Sudden unexpected death in epilepsy in a woman with schizophrenia and cardiomegaly

AI-generated summary

A 67-year-old woman with epilepsy, schizophrenia, and cardiomegaly died suddenly and unexpectedly at home in disability accommodation. The coroner determined the cause as sudden unexpected death in epilepsy (SUDEP). The autopsy revealed borderline cardiomegaly and remote brain changes consistent with previous insult. She was under the care of DHHS and being treated by hospital services for complex epilepsy despite a demanding medication regimen. Recent medication adjustments (escitalopram trial) caused balance difficulties but these resolved when returned to baseline therapy. The case highlights the inherent risks of SUDEP in patients with severe epilepsy and the importance of seizure management in vulnerable populations in residential care settings.

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

Contributing factors

  • severe epilepsy despite complex medication regimen
  • cardiomegaly predisposing to arrhythmia
  • remote brain insult
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