Coronial

83 results for brain infarction

TAShospital2019-10-17

Coroner's Finding: Davies, Eva Fay

87y · Female·left frontal temporal subdural haematoma following closed head injury sustained …

…nts with acute subdural haematoma require urgent neurosurgical transfer to prevent haematoma expansion and brain herniation. The patient's condition deteriorated; she was eventually transferred for emergency surgery but…

neurosurgeryemergency medicinecommunicationdiagnostic
VIChospital2010-01-15

Finding into death of Josephine Cesnik

76y · Female·complications of subdural haemorrhage (operation)

…adache, subdural haematoma was diagnosed and surgery performed. Post-operatively, she developed cerebral infarction and died on 3 February. Key clinical lessons include the importance of thorough head injury assessment i…

emergency medicineneurosurgerydelaywarfarin
SAhospital2020-10-12

Coroner's Finding: MANSVELDERS Henri Martinus Bernardus

79y · Male·Atherosclerotic right internal carotid artery occlusion with resultant ischaemia…

…ely transferred to a tertiary centre, intubated, and provided neuroprotective care in ICU. Given extensive brain necrosis and poor prognosis, palliative care was initiated and he died two days later. The coroner found d…

psychiatryneurologymorphine
VICcommunity2025-09-05

Finding into death of Lisa Nicole Murphy

52y · Female·unascertained - likely combination of underlying natural disease (myocardial inf…

…ffered cardiac arrest and was resuscitated but subsequently developed a massive stroke and diffuse hypoxic brain injury. The medical cause of death remains unascertained, though underlying cardiac disease (myocardial in…

emergency medicineintensive carecommunicationrisperidone
VICaged care2018-10-31

Finding into death of Winifred Jean Morffew

88y · Female·Complications of a pedestrian accident including subarachnoid haemorrhage, subdu…

An 88-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, cardiomyopathy) was struck by a reversing vehicle at low speed, sustaining subarachnoid haemorrhage, subdural haemorrhage, and fracture…

emergency medicineneurosurgerysystem
QLDhospital2023-01-24

Smith, David Frederick

45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…

David Smith, aged 45, died from haemorrhagic transformation of cerebral infarction secondary to essential thrombocytosis with bilateral internal carotid artery thrombosis. He developed an…

haematologyneurologysystemrivaroxaban
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…conded after 24 hours, returning to the community in a delirious state due to sepsis-induced acute organic brain syndrome. He was appropriately detained under the Mental Health Act to ensure treatment, re-admitted to RA…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

…d and dependent on PEG feeding. On 10 June 2024, he presented with acute drowsiness and gaze deviation. CT brain showed no acute bleed or infarction, and EEG ruled out seizures. He was deemed not suitable for CPR, trans…

emergency medicineneurology
TAShospital2018-01-23

Coroner's Finding: Mr M

41y · Male·large volume thrombotic stroke within the distribution of the right posterior ce…

…ad, an MRI was delayed 4 days. When the MRI eventually revealed basilar artery thrombosis with extensive infarction on 10 September afternoon, the LGH radiology department failed to contact NWRH clinicians, and NWRH staf…

emergency medicineneurologydiagnosticcommunication
NSWhospital2020-02-12

Inquest into the death of Francis Sawle

82y · Male·Acute myocardial infarction caused by ischaemic heart disease

Francis Sawle, an 82-year-old man in custody, died of acute myocardial infarction due to ischaemic heart disease while an inpatient at Prince of Wales Hospital. He had significant comorb…

cardiologypalliative careperindopril
VIChospital2011-10-06

Finding into death of John Alan Hemingway

62y · Male·Brain swelling associated with cerebral infarction; drainage acute on chronic su…

…ion for surgical drainage, he developed status epilepticus, suffered bilateral posterior cerebral artery infarction, and died. The coroner identified failures in vehicle safety procedures, driver training standards, and …

neurosurgerygeneral medicineproceduralsystem
TAShospital2017-11-01

Coroner's Finding: French, Steven John

57y · Male·large volume ischaemic infarct (stroke)

Stephen John French, a 57-year-old with prior stroke (2002) and myocardial infarction (2009), presented with headache, visual disturbance and gait difficulty in May 2013. Imaging at Launcest…

neurologyradiologydiagnosticcommunicationenoxaparin
NThospital2007-03-16

Inquest into the death of Jason Donald

33y · Male·Multiple injuries sustained in a single vehicle crash, complicated by acalculous…

Jason Donald, a 34-year-old Aboriginal male, was involved in a high-speed police pursuit following allegations of breaching a domestic violence order. He was driving erratically and intoxicated (BAC 0.285) when police ac…

intensive caretrauma surgery
SAhospital2004-07-30

Coroner's Finding: NOVAKOVIC Nikola

64y · Male·hypoxic encephalopathy, secondary to cardiac arrest, secondary to myocardial inf…

…c failure, and chronic obstructive airways disease died from hypoxic encephalopathy following myocardial infarction and cardiac arrest while detained under mental health legislation. He refused all oral medications inclu…

psychiatrygeneral practicehaloperidol
QLDhospital2009-11-20

Johnston, Margaret Allan

82y · Female·Complications from hypoglycaemic brain damage and cerebral vascular accident

…parate occasions, likely as a medication error rather than malice. She suffered irreversible hypoglycaemic brain damage and concurrent cerebral strokes. Key clinical lessons: insulin access control was inadequate; medic…

anaesthesiaendocrinologymedicationsysteminsulin
NSW2022-07-22

Inquest into the death of Daniel KING

33y · Male·multiple gunshot wounds to the head, trunk and limbs

…iving at Penrith Police Station where he provoked officers to shoot him. Daniel had suffered a significant brain injury in 2010 resulting in chronic traumatic encephalopathy (CTE), depression, personality changes, and p…

psychiatryneurologysystemcocaine
VIChospital2011-10-26

Finding into death of John Threadgold

55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…

…essness exacerbated by heavy smoking. He was readmitted to the ED on 6 August 2010 with acute myocardial infarction and COAD exacerbation, deemed not for resuscitation due to poor prognosis, and died the following day. A…

psychiatryemergency medicinecommunicationsystemantipsychotic medications
TAShospital2024-03-27

Coroner's Finding: Leary, Kane

17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…

Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left inter…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
SAcommunity2023-01-31

Coroner's Finding: Bromage, Ronald

72y · Male·acute cerebral infarction complicating acute myocardial infarction

Ronald Bromage, aged 72, died from acute cerebral infarction complicating acute myocardial infarction. He presented with chest pain on 22 and 25 February 2016 to his…

general practicecardiologydiagnosticdelayparacetamol/codeine
WA2026-01-08

Inquest into the Death of Lewis Walter WARD

Male·out-of-hospital cardiac arrest due to atherosclerotic cardiovascular disease and…

…lipidaemia, and was a smoker. In October 2021, prison doctors identified evidence of previous myocardial infarction on ECG and referred him for an exercise stress test. The appointment scheduled for February 2022 was mis…

cardiologyemergency medicinediagnosticsystem

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