Coronial
VIChome

Finding into death of H D

Deceased

HD

Demographics

11y, female

Coroner

Deputy State Coroner Paresa Spanos

Date of death

2023-08-28

Finding date

2025-03-12

Cause of death

Pneumonia complicating cerebral palsy secondary to KCNQ2 developmental and epileptic encephalopathy

AI-generated summary

HD was an 11-year-old girl with severe cerebral palsy, epilepsy, and multiple complex medical conditions including central respiratory depression and recurrent chest infections. She died from pneumonia at home in August 2023 after a 12-month period of global neurological decline. Her care was exemplary throughout her life—she was fostered by highly trained and loving carers, received appropriate palliative care planning, and was transitioned to comfort-focused end-of-life care in July 2023 following ICU review. The coroner found no clinical management failures or deficiencies in care by any treating professional. This case illustrates appropriate end-of-life planning, good coordination between child protection services and medical teams, and compassionate palliative care management in a young person with severe, progressive neurological disease.

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

Specialties

paediatricspalliative carerespiratory medicineneurologyintensive care

Clinical conditions

cerebral palsyepilepsyKCNQ2 developmental and epileptic encephalopathyquadriplegiascoliosiscentral respiratory depressiontype II respiratory failurerecurrent chest infectionspneumoniaperinatal hypoxic brain injury

Procedures

nasogastric tube insertionpercutaneous endoscopic gastrostomy (PEG) tube insertionjejunostomy PEG (JPEG) insertiontonsillectomy and adenoidectomybaclofen pump insertionhamstring and biceps tendon release surgeryspinal fusion with rod insertion

Contributing factors

  • KCNQ2 gene mutation
  • severe cerebral palsy
  • central respiratory depression
  • recurrent chest infections
  • global neurological decline in final 12 months
Full text

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