Coronial
VIChospital

Finding into death of Linda Snadden

Deceased

Linda Snadden

Demographics

62y, female

Coroner

Coroner Ingrid Giles

Date of death

2023-10-15

Finding date

2025-07-15

Cause of death

Aspiration pneumonia in the setting of refractory focal status epilepticus

AI-generated summary

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died from aspiration pneumonia during refractory focal status epilepticus. She presented with seizures in September 2023, was found to have a large right parietal brain mass on CT, and despite anti-epileptic medication, experienced progressive deterioration with reduced consciousness, hypoxaemia, and tachypnoea. The coroner found treatment at Northern Hospital and by CareChoice was reasonable and appropriate. The case highlights the challenges of managing complex neurological emergencies in medically fragile patients with limited surgical options and the importance of appropriate end-of-life decision-making when prognosis becomes hopeless.

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

Specialties

neurologyneurosurgeryemergency medicineintensive carerespiratory medicine

Drugs involved

anti-seizure medicationsantibioticssupplemental oxygen

Clinical conditions

aspiration pneumoniastatus epilepticusbrain massfrontal cystic meningioma historychildhood acquired brain injuryType 2 diabetes mellitusatrial fibrillationsevere obstructive sleep apnoeahypoventilation syndromesevere pulmonary hypertensionrecurrent cellulitisgastro-oesophageal reflux diseaseobesitycognitive decline

Procedures

CT scan of brainnaso-gastric tube feeding

Contributing factors

  • Large right parietal brain mass with surrounding oedema and midline shift
  • Refractory focal status epilepticus
  • Reduced level of consciousness
  • Multiple comorbidities including severe obstructive sleep apnoea and pulmonary hypertension
  • Medical fragility precluding neurosurgical intervention
  • Progressive neurological deterioration
Full text

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