Coronial
QLDhospital2018-01-24

McLaughlin, Mark Ian

55y · Male·Glioblastoma multiforme

…ement omissions were identified that could have altered outcome. His death from this aggressive, incurable brain tumour could not have been reasonably prevented. The case highlights the importance of compassionate early…

emergency medicineneurosurgery
VIChospital2026-01-08

Finding into death of Linette Ann Hawkins

80y · Female·Injuries sustained in a motor vehicle collision (driver)

…ter likely experiencing a seizure or similar medical episode while driving. She had a history of traumatic brain injury from 1972 and a documented seizure-like episode in December 2022 that caused a minor collision. A n…

neurologytrauma surgerycommunicationsystemlevothyroxine
SAhospital2017-08-25

Coroner's Finding: WARNE Garry Robert

58y · Male·pneumonia on a background of adenocarcinoma of the lung stage 4, ischaemic heart…

…er initial treatment and discharge to prison infirmary, he was readmitted with seizures (likely metastatic brain involvement), wound infection, and pneumonia. The coroner found his medical treatment was satisfactory thr…

vascular surgerycardiology
NSWhome2024-11-04

Inquest into the death of MR

4y · Female·hypoxic brain injuries

A 4-month-old girl died from hypoxic brain injury following an unexplained, unnatural restriction of oxygen on 13 May 2017. She was found unresponsiv…

paediatricspathologydiagnosticdelay
SAhospital2020-11-02

Coroner's Finding: LAMB Dianne Patricia

67y · Female·disseminated adenocarcinoma of the colon

…edical and behavioural needs effectively. The case illustrates challenges in managing cancer patients with brain metastases causing psychiatric symptoms, highlighting the importance of recognising organic causes of beha…

oncologypsychiatrydexamethasone
VIChospital2015-09-30

Finding into death of Kirat Singh

0y · Female·Global hypoxic-ischaemic injury of unknown cause

A three-day-old girl, Baby Kirat, died from global hypoxic-ischaemic brain injury sustained during co-sleeping with her mother in a hospital maternity ward on 9 July 2013. She was r…

neonatologypaediatricsphenobarbital
SAhospital2022-03-30

Coroner's Finding: Commisso, Salvatore

70y · Male·advanced left frontal glioblastoma (operated)

A 70-year-old male prisoner died from advanced left frontal glioblastoma. The tumour was identified when he presented with acute stroke-like symptoms (facial droop, weakness, confusion) in July 2018 while imprisoned. He …

neurosurgeryoncologyfluticasone/salmeterol
VIChospital2015-10-22

Finding into death of Emilie Suzanne Le Coz

31y · Female·raised intracranial pressure due to ventriculoperitoneal shunt dysfunction (disc…

Emilie Le Coz, aged 31, died from raised intracranial pressure secondary to ventriculoperitoneal shunt disconnection. She presented to hospital in March 2010 with progressive headaches, cognitive changes and behaviour de…

neurologyneurosurgerydiagnosticcommunicationpropranolol
NSW2016-09-14

Inquest into the death of Rodney James BATES

55y · Male·Traumatic brain injury caused by blunt force to the head sustained in a fall

Rodney Bates, a 55-year-old in custody at Cessnock Correctional Centre, died from traumatic brain injury sustained in a fall on 2 April 2015. He had experienced recurrent unexplained loss of consciousness…

neurosurgeryneurologymethadone
VIChospital2023-05-29

Finding into death of Kaleb Baylis-Clarke

0y · Male·Head injury in the setting of chronic subdural haemorrhage

…p, vomiting, raised fontanelle and reduced milk intake. Cranial ultrasound showed fluid in subdural spaces. MRI on 15 January showed benign bilateral subdural hygromas and ventricular dilatation with no acute bleed. The…

paediatricsneurosurgerysystem
VIChospital2014-03-13

Finding into death of Kerry Anne Golley

35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…

…ively, failed to regain consciousness, and was transferred to St Vincent's Hospital where imaging revealed brain swelling and herniation. She died from global cerebral ischaemic injury. The cause of cerebral ischaemia w…

general practiceemergency medicinediagnosticdelay
SAhospital2009-03-18

Coroner's Finding: COX Ricky Glen

17y · Male·refractory status epilepticus caused by either a viral infection, an underlying …

…sferred to hospital. Despite trials of 8 anticonvulsants and induced coma, his seizures persisted, causing brain swelling, coning, and brain death. No clinical mismanagement was identified in hospital care or initial ED…

neurologyemergency medicinesystemcommunicationdicloxacillin
QLDhospital2025-05-26

Findings into the death of Trevor Charles Stone

57y · Male·Metastatic lung adenocarcinoma (stage IVA non-small cell lung cancer)

Trevor Charles Stone, a 57-year-old First Nations man imprisoned for sexual offences, died from metastatic lung adenocarcinoma with contributing comorbidities (diabetes, hypertension, dyslipidaemia, ischaemic heart disea…

oncologypalliative carecarboplatin
SAmental health2025-03-06

Coroner's Finding: Fowles, Wayne Lincoln

59y · Male·hanging

A 59-year-old man with major depression and psychotic features was lawfully detained under an inpatient treatment order at Noarlunga Hospital's Morier Ward. He was appropriately managed, initially in the high-dependency …

psychiatryemergency medicinelorazepam
VIChospital2023-04-18

Finding into death of James Bernard Williamson

54y · Male·hypoglycaemic encephalopathy complicating multiple injuries in a man with chroni…

… fractures and head injuries. Despite transfer to hospital and intensive care, he developed severe hypoxic brain injury and died on 11 July 2020. The precise mechanism of injury could not be definitively determined, tho…

intensive careneurologymethamphetamine
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

43y · Female·Subarachnoid haemorrhage due to a ruptured berry aneurysm

…5-8/10) occurring 30 August–4 September to the treating neurosurgeon; delay in obtaining repeat imaging (CT/MRI) despite escalating headache severity; and inadequate informed consent discussion regarding treatment optio…

neurosurgeryradiologycommunicationdiagnosticaspirin
VIChospital2025-06-25

Finding into death of RFV

87y · Male·Consequences of an assault with severe facial fractures

RFV, an 87-year-old man, died from severe facial fractures and traumatic brain injury sustained during an assault by his daughter-in-law. He presented to hospital in critical condition …

emergency medicineintensive caresystem
VIChospital2025-04-30

Finding into death of Margaret Ann Day

66y · Female·Ischaemic brainstem stroke

…, she developed progressive seizure activity and clinical deterioration. Repeat imaging revealed extensive brainstem infarction deemed unsurvivable. Palliative care was instituted and she died on 9 December 2024. This c…

neurologyemergency medicinelevetiracetam
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

… initial assessments were inadequate and did not identify metastatic disease until the third presentation. Brain metastases and C6 spinal involvement were subsequently found. During terminal admission, he developed conf…

oncologyemergency medicinediagnosticdelay
VIChospital2019-07-16

Finding into death of Baby J

1y · Unknown·Hypoxic ischaemic encephalopathy post cardiac arrest due to nicotine toxicity

…ely 15 minutes. He was admitted to intensive care, intubated, but developed irreversible hypoxic ischaemic brain injury. Life support was withdrawn on 10 June 2018. The coroner found this a tragic accident resulting fro…

intensive careemergency medicineliquid nicotine

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.