Finding into death of Winfried Medenbach

65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities

Winfried Medenbach, a 65-year-old man with tuberous sclerosis, severe intellectual disability, epilepsy, and history of bowel complications, died from a middle cerebral artery stroke. He had been admitted to hospital in late October 2023 for bowel perforation requiring surgery, followed by multiple readmissions for post-operative complications including intra-abdominal collections and diarrheal illness with dehydration. Despite appropriate medical management including infectious disease consultation, fluid resuscitation, and multidisciplinary care planning, he suffered a catastrophic ischaemic stroke on 2 December 2023 while recovering from acute gastroenteritis. The coroner found no factors related to clinical or disability care that contributed to his death, and found the death occurred from natural causes.