Coronial
VIC2024-09-23

Finding into death of Silvio Rolfo

55y · Male·Sudden and unexpected death in epilepsy

…l disability, autism, and longstanding infrequent epilepsy, died from sudden unexpected death in epilepsy (SUDEP) at his supported living residence. He was found on the floor beside his bed on the morning of 13 July 202…

general practiceneurologybenztropine
ACThospital2019-08-22

Inquest into death of Sebastian Nicholas Pelle

20y · Male·sudden unexplained death in epilepsy (SUDEP); right frontal lobe epidermal cyst …

…/MRI scan), given only analgesia and paracetamol-codeine. He died of sudden unexplained death in epilepsy (SUDEP) the following morning. Expert review by a neurologist concluded that a non-contrast CT scan should have b…

neurologyemergency medicinediagnosticdelayparacetamol/codeine
WAhome2019-06-12

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

13y · Male·Epileptic seizure with aspiration

…tive impairment and poorly controlled generalised epilepsy, died from sudden unexpected death in epilepsy (SUDEP) with aspiration. His seizures remained refractory despite appropriate anti-epileptic medications (levetir…

neurologypaediatricsmedicationcommunicationlevetiracetam
VICaged care2022-07-25

Finding into death of Vasiliki Simopoulos

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

… the bathroom at 1:20am on 7 February 2019. Autopsy revealed probable sudden unexpected death in epilepsy (SUDEP). Post-mortem examination excluded cardiac, respiratory, gastrointestinal, and other acute pathology. Fami…

neurologyemergency medicinesystemprimidone
TAShome2022-05-18

Coroner's Finding: Masters, Shane Anthony

40y · Male·Sudden Unexpected Death in Epilepsy (SUDEP) resulting from post-traumatic brain …

Shane Masters died from Sudden Unexpected Death in Epilepsy (SUDEP) 12 years after sustaining a severe traumatic brain injury at work. On 19 May 2008, a hydraulic jack dislo…

neurosurgeryrehabilitation medicinesystemprocedural
VICaged care2011-05-24

Finding into death of Dorothy Plumb

65y · Female·Ischaemic heart disease (coronary artery atherosclerosis); probable cardiac arrh…

…nit or GP records. This documentation failure prevented assessment of sudden unexpected death in epilepsy (SUDEP) risk. The evening before death, the care worker noted the deceased appeared vague and tired but not unwel…

cardiologygeneral practicedocumentationcommunication
VIChome2018-06-06

Finding into death of Rohan Grindrod

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

… 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 Emergency Response (VitalCall) device that had prev…

neurologyoccupational therapysystemcommunicationcarbamazepine
NSWhome2016-12-08

Inquest into the death of Ezekiel HOWARD

10y · Male·Unascertained - sudden and unexpected death; evidence did not allow determinatio…

…extensive investigation. The coroner could not determine whether death resulted from undiagnosed epilepsy (SUDEP) or sudden cardiac death, as evidence was incomplete and inconclusive. The boy had episodes of transient n…

paediatricscardiologydiagnosticdelay
VIChome2024-01-16

Finding into death of Kieran Joseph McGuinness

37y · Male·Sudden unexpected death in epilepsy (SUDEP) in the setting of acquired brain inj…

Kieran McGuinness, 37, died of sudden unexpected death in epilepsy (SUDEP) following acquired brain injury with post-traumatic epilepsy. He was found unresponsive on his apartment …

neurosurgeryneurologydiagnosticcommunicationlevetiracetam
VICaged care2013-06-12

Finding into death of Colin Frederick Toogood

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

… sudden cardiac arrhythmia as the most likely mechanism, though no structural cardiac pathology was found. SUDEP was considered but deemed atypical. The death highlights the diagnostic challenge in sudden unexplained de…

forensic medicineneurologycarbamazepine
VICcommunity2012-08-16

Finding into death of Janice King

45y · Female·Epilepsy

…equire careful medication level monitoring and optimisation to prevent breakthrough seizures and potential SUDEP.

intensive careemergency medicinesodium valproate
QLD2022-09-02

Mitchell, Vanelee Curtis

30y · Male·Sudden unexpected death in epilepsy

…rapeutic anticonvulsant levels, with the cause of death determined as sudden unexpected death in epilepsy (SUDEP). The coroner found no deficiencies in medical care provided in prison, including appropriate medication m…

neurologycorrectional healthsystemsodium valproate
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
WAhome2007-06-08

Inquest into the Death of Moss

40y · Female·Sudden unexpected death in epilepsy (SUDEP); epileptic seizure

…awake all night as instructed. The coroner found the death was due to sudden unexpected death in epilepsy (SUDEP). While sleep deprivation can lower the seizure threshold, the coroner found no definite causal link betwe…

neurologygeneral practicecommunicationdiagnosticsodium valproate
VICaged care2023-05-15

Finding into death of Jennifer Mary Thomas

65y · Female·Unascertained

Jennifer Thomas, a 65-year-old woman with intellectual disability due to phenylketonuria, died in disability residential care. She became unresponsive in her wheelchair and staff performed emergency CPR after lifting her…

geriatric medicinedisability medicinesodium valproate
NSW2018-02-16

Inquest into the death of Carney Schultz

28y · Female·complications of epilepsy

…ure protocols for casual staff. The coroner found the likely cause was complications of epilepsy (possibly SUDEP—Sudden Unexpected Death in Epilepsy), though precise mechanism couldn't be determined. Systemic improvemen…

neurologygeneral practicecommunicationsystemmidazolam
NSWcommunity2026-03-25

Inquest into the death of Jesse Riley

31y · Male·Status epilepsy secondary to cerebral cavernoma

Jesse Riley, a 31-year-old with undiagnosed cerebral cavernoma, experienced status epilepticus triggered by an unknown cause (possibly nicotine from recent vaping). While in post-ictal delirium, he was perceived as aggre…

paramedicineemergency medicinecommunicationsystemdroperidol
QLDpolice custody2006-08-09

Bee, Calvin Wayne

42y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)

…e, a 42-year-old Aboriginal man with chronic alcohol abuse, died from sudden unexpected death in epilepsy (SUDEP) while in police custody in Normanton, Queensland. He was sentenced to six months imprisonment on 18 Augus…

emergency medicineforensic medicinediagnosticsystemalcohol
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
VIChospital2025-08-19

Finding into death of Louise Anne Turner

50y · Female·Cardiac hypertrophy in the setting of epilepsy

Louise Anne Turner, a 50-year-old woman with cerebral palsy, intellectual disability, schizophrenia, epilepsy and dysphagia, died from cardiac hypertrophy in the setting of epilepsy. She experienced falls and declining m…

intensive careemergency medicinemidazolam

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