91 results for “neurological deterioration”
73y · Female·general inanition due to dysphagia on a background of multiple neurological and …
…iate supportive care including nasogastric feeding and intravenous hydration, she developed progressive neurological deterioration with dysphagia and eventually died from general inanition. The coroner found her treatmen…
48y · Male·Anaplastic astrocytoma
…our. He had undergone multiple surgical resections and chemotherapy since 1986. In January 2015, rapid deterioration with neurological decline prompted transfer to Royal Melbourne Hospital where further surgical interve…
54y · Female·Pneumonia and radiation induced brain injury
…-1995, died of pneumonia complicated by radiation-induced brain injury. She had experienced progressive neurological deterioration over nearly 20 years, including cognitive impairment, dysphasia, and contractures. She wa…
33y · Male·Marburg variant of multiple sclerosis
Jason Menzies, aged 33, died in custody from Marburg variant multiple sclerosis after rapid neurological deterioration. He initially presented with urinary retention on 1 December 2022, which was appropriatel…
48y · Male·subdural haemorrhage
…se life-threatening intracranial bleeding, and that baseline cognitive impairment from alcohol may mask neurological deterioration. Early imaging and neurosurgical consultation were appropriately obtained.
81y · Female·Subdural haemorrhage from fall with exacerbation by anticoagulant therapy
…r medication reconciliation at care transitions, use single authoritative medication sources, implement neurological observation protocols in aged care for head injury patients, and consider acute hospital admission rath…
43y · Female·Hypostatic bronchopneumonia in the setting of birth-related brain injury
…iate and reasonable care. Key clinical lessons include recognising progressive decline in patients with neurological disability and longstanding aspiration risk, timely recognition of deterioration, and appropriate palli…
77y · Male·Subarachnoid and subdural haemorrhage post head trauma secondary to a fall
…on 30 March 2015, striking his head. Initial assessment by a locum GP found no head injury evidence and neurological observations were ceased. On 30 March morning, Mr Alexander deteriorated with confusion, drowsiness, an…
56y · Male·Basal ganglia haemorrhage with intraventricular extension in the context of moya…
…derscores the importance of recognising warning signs in patients with moyamoya disease (such as sudden neurological deterioration) and ensuring rapid emergency response. Early recognition of acute neurological symptoms …
93y · Male·Intracranial haemorrhage in the setting of over-warfarinisation
…care. Initial assessment by ambulance was appropriate and he was not transferred. Over subsequent days, neurological signs developed but were not escalated. INR testing was delayed (14 days without testing), and when fin…
76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …
…ive bilateral lower limb weakness, but recognition was delayed due to severe delirium which complicated neurological assessment. Staff at Frankston Hospital failed to recognise that his neurology had been normal on disch…
48y · Male·Aspiration pneumonia
…ary 2023, was prescribed antibiotics, and became unsteady after administration. Despite early signs of deterioration (fever on 8 January, facial drooping and lip-twitching on 9 January), he was not immediately hospitali…
44y · Male·Complications following seizure on a background of acquired epilepsy; acquired b…
Anthony Dzaja, aged 44, died from complications of seizures secondary to acquired brain injury sustained in a 1997 motor vehicle accident. He had progressively deteriorated over several years with worsening epilepsy, cog…
12y · Male·astrocytoma (brainstem, posterior fossa tumour with hydrocephalus and brainstem …
…. That evening, he developed vomiting and confusion suggesting 'coning' (brainstem herniation). Despite neurological examination showing apparent recovery, he deteriorated catastrophically at 5:55 am and could not be res…
56y · Female·Intracranial haemorrhage whilst undergoing intravenous heparin therapy
…e 2007. An ED physician diagnosed ischaemic stroke based on a subtle CT finding in the absence of focal neurological signs, which was not a reasonable diagnosis. She was admitted and started on anticoagulation (Clexane t…
12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…
…ith Chiari malformations to identify asymptomatic chronic hydrocephalus; family concerns about patient deterioration must be taken seriously and escalated promptly; comprehensive handover procedures from ICU to ward are…
66y · Female·Ischaemic brainstem stroke
…l disability, and dysphagia, presented to the Emergency Department on 26 November 2024 with acute focal neurological symptoms. CT imaging revealed bilateral occipital posterior circulation infarcts with basilar artery oc…
41y · Male·Subdural haematoma
…ation. Critical failures included: cognitive bias anchoring on alcohol withdrawal diagnosis; inadequate neurological examination and documentation; failure to obtain CT imaging despite red flags; continued diazepam admin…
28y · Male·Acute Dopamine Imbalance Syndrome
…admitted to the ED where he spent five hours undergoing vague "physical clearance" rather than targeted neurological assessment despite known abnormal EEG and recent antipsychotic initiation. His Glasgow coma score colla…
54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus
…cy sedation with benzodiazepines and antipsychotics on 29 September, he developed profound sedation and neurological deterioration. Critical issues included: lack of daily psychiatric review in the Special Care Unit (he …
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