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WAhome2019-06-12

Inquest into the Death of Child L (Name Subject to Suppression Order)

13y · Male·Epileptic seizure with aspiration

Child L, a 13-year-old boy with autism, cognitive impairment and poorly controlled generalised epilepsy, died from sudden unexpected death in epilepsy (SUDEP) with aspiration. His seizures remained refractory despite app…

neurologypaediatricsmedicationcommunicationlevetiracetam
VICcommunity2018-12-18

Finding into death of LF M

52y · Male·Multiple injuries sustained in a motor vehicle incident (driver) in a man with a…

A 52-year-old man with epilepsy died in a motor vehicle collision when his car struck a parked truck at high speed with no evidence of braking. Witness accounts and collision reconstruction suggested he experienced a sei…

neurologycardiologycommunicationsystemtopiramate
TAScommunity2018-12-05

Coroner's Finding: Webb, Shanelle Jean

22y · Female·Sudden Unexpected Death in Epilepsy (SUDEP)

22-year-old woman with epilepsy, cognitive disability and schizophrenia died of Sudden Unexpected Death in Epilepsy (SUDEP) during respite care. She experienced a nocturnal seizure while sleeping at a disability support …

neurologydisability medicinesystemdelayolanzapine
VICcommunity2018-09-18

Finding into death of Gerald Vanderwerf

56y · Male·unascertained; presumed suicide by unknown means

Gerald Vanderwerf, a 56-year-old man with a 40-year history of severe depression, suicidal ideation, and multiple suicide attempts, disappeared from the Grampian Ranges on 23 September 2016. The coroner found on the bala…

psychiatrygeneral practicecommunicationsystemlamotrigine
TASaged care2017-11-29

Coroner's Finding: Plummer, Samuel Anthony

34y · Male·sudden unexpected death in a person with epilepsy (SUDEP)

Samuel Anthony Plummer, aged 34, died from sudden unexpected death in epilepsy (SUDEP) at his assisted living residence. He had longstanding epilepsy managed with sodium valproate and lamotrigine, with his last major sei…

neurologypsychiatrysodium valproate
VIC2017-11-13

Finding into death of Colin Cannon

45y · Male·Complications of Lennox-Gastaut syndrome

Colin Vivian Cannon, a 45-year-old man with Lennox-Gastaut syndrome living in residential care, was found unresponsive and died from complications of his severe epilepsy. His seizures had increased in frequency and sever…

neurologygeneral practicesodium valproate
VICcommunity2016-11-17

Finding into death of Maria Elizabeth Valler

56y · Female·asthma

Maria Valler, a 56-year-old woman with intellectual disability and autism who was living in Department of Health and Human Services (DHHS) supported accommodation, died from acute asthma while returning from a walking ex…

general practicepsychiatrycommunicationsystemseretide 250/25 mcg
VIChome2016-10-07

Finding into death of Milica (Mary) Minchev

48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…

A 48-year-old woman with epilepsy, depression, anxiety and documented drug dependence died from combined toxicity of oxycodone, benzodiazepines, amitriptyline and other drugs. Over 12 months pre-death, she obtained medic…

general practicepsychiatrydiagnosticmedicationoxycodone
VICcommunity2016-06-07

Finding into death of Simon Mark Everill

55y · Male·Complications of right middle cerebral artery infarction

Simon Mark Everill, a 55-year-old man with intellectual disability and epilepsy, suffered a right middle cerebral artery infarction on 3 September 2014 after experiencing two falls during a day service activity. His symp…

general practiceemergency medicinediagnosticcommunicationsimvastatin
WA2016-05-04

Inquest into the Death of TP (a child) (Subject to a Suppression Order)

15y · Female·Seizure disorder (epilepsy) with associated vomit aspiration; Sudden Unexpected …

A 15-year-old girl with refractory epilepsy and intellectual disability died from a seizure with vomit aspiration at a special needs holiday camp on the second night of attendance. She had known epilepsy managed with mul…

neurologyemergency medicinecommunicationsystemsodium valproate
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

Jay Dion Sykes, aged 18, died from aspiration pneumonia in the setting of acquired brain injury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectua…

general medicineemergency medicinecommunicationesomeprazole
NSWaged care2015-02-03

Inquest into the death of Annalies Malm

45y · Female·terminal epileptic seizure

Annalies Malm, a 45-year-old woman with cerebral palsy, severe intellectual disability, and epilepsy, died from a terminal epileptic seizure with aspiration pneumonia. She received incorrect medication on 7 May 2012 by a…

neurologygeneral practicemedicationlamotrigine
TAScommunity2015

Coroner's Finding: Youth Suicide

Unknown·suicide by hanging or other means

Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified s…

psychiatrypaediatricssystemcommunicationlamotrigine
VICmental health2014-12-19

Finding into death of Melissa Jane Thorn

33y · Female·multiple injuries sustained in a train incident

A 33-year-old woman with schizoaffective disorder and chronic suicidality died by suicide after stepping in front of a train on 6 October 2009. She was an involuntary psychiatric patient at Northpark Private Hospital des…

psychiatryemergency medicinesystemcommunicationclozapine
VIChome2014-11-11

Finding into death of Tamara Ann Burt

32y · Female·Alcoholic ketoacidosis

Tamara Burt, 32, died of alcoholic ketoacidosis after isolating in her room and drinking excessively. She had bipolar affective disorder, alcohol dependence disorder, and borderline personality disorder traits. Despite o…

psychiatryaddiction medicinesystemcommunicationquetiapine
VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

A 53-year-old registered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webst…

psychiatrygeneral practicesystemcommunicationpropranolol
VIChospital2013-08-23

Finding into death of Joseph Micallef

55y · Male·Aspiration pneumonia

Joseph Micallef, a 55-year-old man with cerebral palsy and epilepsy living in high care accommodation, died from aspiration pneumonia. He had longstanding dysphagia related to his cerebral palsy, which had caused multipl…

infectious diseasesrespiratory medicinecitalopram
VICaged care2013-06-12

Finding into death of Colin Frederick Toogood

66y · Male·Undetermined - natural causes; likely sudden cardiac arrhythmia

Colin Toogood, a 66-year-old man with a long history of intellectual disability, epilepsy, brain injury, and remote stroke, died suddenly while using the toilet in residential care. He complained of neck soreness before …

forensic medicineneurologycarbamazepine
WAhome2013

Inquest into the Death of Blinkhorn, Leah Christine

29y · Female·Multiple Drug Toxicity (Lamotrigine, Doxylamine, Venlafaxine, Valproic Acid, Cod…

A 29-year-old woman with personality disorders and depression called Perth Clinic at 11:11pm reporting she had overdosed on multiple medications (lamotrigine, doxylamine, venlafaxine, valproic acid, codeine, morphine). S…

psychiatryemergency medicinediagnosticcommunicationlamotrigine
WAhospital2012-10-05

Inquest into the Death of Rasmussen vaughn

15y · Male·Cerebral ischaemia in a young man with a blocked ventricular peritoneal shunt an…

Vaughn Richard Rasmussen, a 15-year-old boy with congenital abnormalities and a ventricular-peritoneal (VP) shunt, died from cerebral ischaemia caused by acute blockage of his VP shunt on 17 November 2009. Between 12-16 …

general practicegeneral medicinediagnosticcommunicationlamotrigine

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