Coronial
VIChospital

Finding into death of Mariza Beretta

Deceased

Mariza Beretta

Demographics

52y, female

Coroner

Coroner David Ryan

Date of death

2020-01-27

Finding date

2021-08-11

Cause of death

Presumed SUDEP (Sudden Unexplained Death in Epilepsy)

AI-generated summary

Mariza Beretta, a 52-year-old woman with Trisomy 21 and early-onset Alzheimer's disease, died from presumed SUDEP (Sudden Unexplained Death in Epilepsy) at Royal Melbourne Hospital. She was diagnosed with genetic generalised epilepsy in September 2019 following a witnessed seizure and commenced on sodium valproate in December 2019. She suffered a second seizure in hospital in mid-December while face-down in bed. She was found unresponsive and not breathing at 4:15am on 27 January 2020, with clinical suspicion of an unwitnessed seizure. The coroner found the standard of care provided was reasonable and appropriate, including investigation of her new-onset epilepsy and appropriate antiepileptic treatment. No preventable factors were identified. The case highlights SUDEP risk in newly diagnosed epilepsy and the importance of seizure precautions in vulnerable patients.

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

Specialties

neurologygeriatric medicinegeneral practiceorthopaedic surgeryemergency medicine

Drugs involved

sodium valproatedonepezilparacetamol

Clinical conditions

SUDEPgenetic generalised epilepsyTrisomy 21early-onset Alzheimer's diseasesevere scoliosisadvanced spinal osteoarthritismild aortic stenosismitral regurgitationtricuspid regurgitation

Contributing factors

  • newly diagnosed genetic generalised epilepsy
  • recent commencement of antiepileptic medication
  • intellectual disability
  • early-onset Alzheimer's disease
  • unwitnessed seizure
Full text

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