106 results for “CT brain imaging”
45y · Male·abdominal sepsis on a background of metastatic lung carcinoma
A 45-year-old man with advanced metastatic lung cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with terminal lung …
68y · Male·Lung cancer
Daniel McQuilken, a 68-year-old man in immigration detention, died from metastatic lung cancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and …
69y · Male·subarachnoid haemorrhage with contributing cardiomegaly
…stem and communication failures prevented timely diagnosis and intervention despite adequate radiological imaging.
27y · Male·Head injury
…pital initially, then transferred to Royal Melbourne Hospital where he died five days later from traumatic brain injury with subdural haematoma. Medical review identified that an intracranial pressure (ICP) monitor migr…
35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…
…zure post-operatively, 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 cere…
16y · Male·Hypoxic brain injury secondary to skull fracture and extradural haemotoma from b…
Justin Galligan, aged 16, died from hypoxic brain injury due to a skull fracture and extradural haemotoma caused by a single punch at a teenage party. He lo…
17y · Female·multiple injuries
…ehicle reached speeds up to 105km/h before colliding with a retaining wall. She sustained severe traumatic brain injury with diffuse cerebral oedema, subarachnoid haemorrhage, subdural haemorrhage, and basal skull injur…
62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…
…rived approximately 2-3 minutes after the emergency call and initiated CPR, but John suffered irreversible brain damage. The coroner found the death was not preventable and care was reasonable and appropriate. Key lesso…
68y · Male·Cerebrovascular disease
John Raymond Ainsworth, a 68-year-old prisoner, died of cerebrovascular disease following a severe stroke on 25 November 2020. He had poorly controlled Type II diabetes, hypertension, and high cholesterol. Prior to his a…
12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…
…ntracranial pressure, causing sudden respiratory arrest and death. Clinical lessons include: pre-operative brain imaging should be performed in children with Chiari malformations to identify asymptomatic chronic hydroce…
31y · Female·raised intracranial pressure due to ventriculoperitoneal shunt dysfunction (disc…
… team misinterpreted findings alongside a reassuring shunt flow study and discharged her as migraine. The imaging was never reviewed by an experienced neurosurgeon. Her mother repeatedly raised concerns about shunt dysf…
41y · Male·large volume thrombotic stroke within the distribution of the right posterior ce…
A 41-year-old man with acute posterior circulation stroke was misdiagnosed as encephalitis despite normal lumbar puncture findings. The critical failure was Dr R.'s failure to diagnose stroke on 7 September and arrange u…
15y · Male·head injury from motorcycle accident resulting in extensive brain injury and bas…
…met. He suffered a severe head injury with base of skull fracture, extensive subarachnoid haemorrhage, and brain contusions. Despite immediate first aid, emergency response, and transfer to a tertiary hospital with mech…
56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…
…his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation and imaging, which was objectively reasonable. Two CT-guided biopsies on 8-9 November were attempted but unsuccessful…
29y · Male·Hypoxia as a result of cardiac arrest (ventricular fibrillation) from unknown ca…
…icular fibrillation while exercising at a Melbourne fitness centre on 3 October 2007 and died from hypoxic brain injury. The critical failure was inadequate pre-hospital response: only one untrained receptionist was on …
88y · Male·Multiple injuries sustained in a motor vehicle collision (pedestrian)
An 88-year-old man died from multiple injuries sustained when struck by a motor vehicle while crossing a poorly-lit road as a pedestrian. He suffered bilateral pelvic fractures, lumbar spine fractures, aortic transection…
57y · Male·thalamic haemorrhage with ventricular extension
…ypertension and atrial fibrillation suffered a massive thalamic haemorrhage while at home and was declared brain dead at hospital. His organs were donated to three recipients who all died within six days in early Januar…
76y · Female·complications of subdural haemorrhage (operation)
Josephine Cesnik, 76, died from complications of subdural haemorrhage following head trauma on 20 January 2008. She initially concealed the injury, attributing it to a fall, and did not seek medical attention for 9 days …
68y · Male·pulmonary embolism secondary to immobilisation as a result of subdural haemorrha…
…isbane neurology indicated no immediate surgery was needed. The patient deteriorated on day 4 with repeat imaging showing no change, but was not transferred due to claimed bed shortage (disputed). He died from pulmonary…
23y · Male·intra-cerebral haemorrhage following methylamphetamine use
…esulting in inappropriate anticoagulant and aspirin therapy. A 6-hour diagnostic delay occurred before CT imaging revealed a large frontal lobe haemorrhage. He underwent craniotomy and hemicraniectomy but died on 20 Apr…
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