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VIChome2026-03-25

Finding into death of Ian Robert Cameron

73y · Male·Complications of pyelonephritis and hepatocellular carcinoma in a man with epile…

Ian Robert Cameron, a 73-year-old man with multiple disabilities including motor neuron disease, epilepsy, and intellectual disability, died at home in specialist disability accommodation from complications of pyelonephr…

phenytoin
VIC2025-10-08

Finding into death of Richard Paul Atkins

65y · Male·Ischaemic heart disease in a man with epilepsy

Richard Paul Atkins, a 65-year-old man with intellectual disability and epilepsy living in specialist disability accommodation, died from ischaemic heart disease. Post-mortem examination revealed moderate to severe tripl…

cardiologyneurologycarbamazepine
QLD2025-09-05

Findings into the death of Faysal Ishak AHMED

30y · Male·Acute pneumonia and multi-organ failure, due to or as a consequence of traumatic…

Faysal Ishak Ahmed, a 30-year-old Sudanese refugee, died from traumatic brain injury sustained in a fall down stairs at Manus Island Regional Processing Centre on 22 December 2016. He collapsed and fell while alone, like…

emergency medicineintensive caredelaymannitol
VIC2025-05-12

Finding into death of Timothy John Hacking

54y · Male·Cardiomyopathy (NOS)

Timothy Hacking, a 54-year-old man with intellectual disability, schizoaffective disorder, epilepsy and hypertension, died suddenly at his supported accommodation from cardiomyopathy. Autopsy revealed moderate coronary a…

cardiologyforensic medicinetelmisartan
VICaged care2022-07-25

Finding into death of Vasiliki Simopoulos

47y · Female·Probable sudden unexpected death in epilepsy (SUDEP)

Vasiliki Simopoulos, a 47-year-old woman with severe Lennox-Gastaut Syndrome living in residential care, was found unresponsive in the bathroom at 1:20am on 7 February 2019. Autopsy revealed probable sudden unexpected de…

neurologyemergency medicinesystemprimidone
WAcommunity2021-08-11

Inquest into the Suspected Death of Desmond Francis CARR

32y · Male·unknown cause, likely natural causes possibly complicated by accident in remote …

Desmond Carr, aged 32, disappeared on 2 August 1979 from a remote worksite near Thangoo Station, Broome, WA, while operating a steam roller for the Main Roads Department. He was in poor health with a history of seizures,…

systemdelayphenytoin
VICaged care2020-06-03

Finding into death of Annette Lee Douglass

60y · Female·Respiratory arrest in the setting of aspiration pneumonia; seizures associated w…

A 60-year-old woman with Down syndrome, Alzheimer's dementia, and epilepsy died from respiratory arrest due to aspiration pneumonia after a seizure. A multi-day delay in anticonvulsant medication (phenytoin) occurred due…

general practiceneurologycommunicationsystemphenytoin
VIChospital2020-03-26

Finding into death of Matthew John George

45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…

A 45-year-old man with poorly controlled diabetes, ischaemic heart disease, and recurrent lower limb infections died from anaphylaxis to intravenously administered flucloxacillin. He presented with sepsis secondary to a …

general medicineinfectious diseasescommunicationdiagnosticflucloxacillin
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

HB, age 8 years 10 months, died from aspiration pneumonia with extreme cachexia (BMI 7). She had severe cerebral palsy, epilepsy (Lennox-Gastaut syndrome), and was entirely dependent on PEG tube feeding. Between January …

paediatricsneurologydiagnosticdelaylevetiracetam
VIChome2019-08-06

Finding into death of Angelina Alviano

67y · Female·Sudden unexpected death in epilepsy in a woman with schizophrenia and cardiomega…

A 67-year-old woman with epilepsy, schizophrenia, and cardiomegaly died suddenly and unexpectedly at home in disability accommodation. The coroner determined the cause as sudden unexpected death in epilepsy (SUDEP). The …

neurologypsychiatrylamotrigine
NSWhome2018-11-14

Inquest into the death of Jaxon McGrorey-Smith

0y · Male·neonatal encephalopathy due to perinatal compromise

Jaxon McGrorey-Smith, a full-term neonate, was delivered by caesarean section after prolonged labour. He developed seizures and signs of hypoxic-ischaemic encephalopathy (HIE) within hours of birth, with MRI imaging conf…

neonatologyneurologyoxytocin
VIChome2018-06-06

Finding into death of Rohan Grindrod

41y · Male·Sudden unexpected death in epilepsy (SUDEP)

Rohan Grindrod, a 41-year-old man with acquired brain injury and epilepsy following a 2007 motor vehicle accident, died of Sudden Unexpected Death in Epilepsy (SUDEP) at his home on 16-17 November 2011. He had a Personal…

neurologyoccupational therapysystemcommunicationcarbamazepine
QLD2018-01-24

Bernard, Peter Matthew

42y · Male·Coronary artery atheroma with arrhythmia

A 42-year-old Indigenous man with acquired brain injury and epilepsy died suddenly in custody from coronary artery atherosclerosis causing arrhythmia. He exercised vigorously the day before death, became pale and sweaty …

emergency medicineforensic medicinesodium valproate
NT2017-01-09

Inquest into the death of Noel Ramage

75y · Male·Accidental drowning

A 75-year-old man died by drowning after his modified recreational boat capsized on Saltwater Arm River. The boat had been fitted with unauthorised side panels and modified seating that compromised stability and exceeded…

citalopram
NSWhospital2015-10-28

Inquest into the death of Michael NELSON

62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…

Michael Nelson, 62, died at Westmead Hospital on 3 May 2014 with multiple comorbidities including early-onset dementia, Parkinson's disease, neck dystonia (torticollis), and undernourishment. He presented to ED with inab…

emergency medicineneurologymedicationcommunicationmidazolam
TAShospital2015-09-07

Coroner's Finding: Weir, Mary

80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…

An 80-year-old woman with chronic heart failure admitted to hospital fell from bed and hit her head. Although nursing staff were concerned about a possible head injury, the House Medical Officer incorrectly concluded no …

emergency medicinegeneral medicinediagnosticmedicationaspirin
NSWhospital2015-07-02

Inquest into the death of N

69y · Female·Asphyxiation consistent with hanging

A 69-year-old woman admitted to Hornsby Hospital with seizures and subacute encephalopathy developed rapidly fluctuating mental state including anxiety, depression, suicidal ideation, and cognitive impairment. While indi…

neurologypsychiatrydiagnosticcommunicationphenytoin
VICaged care2014-04-29

Finding into death of Marie Goder

84y · Female·Major cerebral infarct due to hypoglycaemia

Marie Goder, an 84-year-old with diabetes, developed severe hypoglycaemia following insulin administration at a nursing home on 1 November 2009, resulting in prolonged unconsciousness and bilateral cerebral infarcts. Aft…

general practicegeneral medicinediagnosticmedicationactrapid
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
WA2013

Inquest into the Death of Banh, Bac Lam

54y · Male·Early bronchopneumonia complicating subarachnoid haemorrhage due to a ruptured b…

Bac Lam Banh, a 54-year-old prisoner at Walpole Work Camp, suffered a ruptured berry aneurysm while working on 4 September 2012. He received prompt first aid from prison staff and emergency responders, with transfer to A…

neurosurgeryemergency medicinediagnosticphenytoin

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