122 results for “severe dysphagia”
44y · Male·aspiration and intellectual disability
Andrew Wilson, a 44-year-old man with intellectual disability, epilepsy, asthma, and severe scoliosis, died from aspiration in a community residential unit. He had been prescribed a laxative and ene…
69y · Female·Aspiration pneumonia in a woman with intellectual disability
…anagement (Coloxyl and increased fluids). She collapsed the same evening and was resuscitated but suffered severe hypoxic brain injury during arrest. Autopsy revealed aspiration pneumonia with risk factors including her …
64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection
Heather Maree Smith, a 64-year-old woman with severe cerebral palsy and multiple comorbidities residing in specialist disability accommodation, died from compl…
48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…
Kathryn O'Rourke, aged 48, a resident with severe intellectual disability and dysphagia in a disability residential care facility, aspirated a piece of toas…
15y · Male·bronchopneumonia secondary to chronic chest dysmorphology caused by congenital b…
Lee Shaun Wurramarrba was a 15-year-old severely disabled boy with cerebral palsy, global developmental delay, kyphoscoliosis, epilepsy, and chronic ches…
53y · Male·Complications of hypoxic brain injury secondary to mixed drug toxicity (methylam…
…treet drug mixture on 30 June 2023, suffered a prolonged seizure, was intubated and sedated, but sustained severe hypoxic brain injury. He was extubated after 16 days but remained severely neurologically impaired with pe…
58y · Male·aspiration pneumonia complicating sigmoid volvulus, in a man with multiple scler…
…onia—rather than clinical error. Key clinical lessons include recognizing aspiration risk in patients with severe neurological disease, managing acute bowel obstruction in complex patients, and timely escalation to palli…
68y · Male·unascertained
… multiple chronic medical conditions including peripheral neuropathy, chronic pain, atrial fibrillation, dysphagia, and depression disappeared on 25 June 2017. He left home, drove his car to Lancelin Beach (130 km away)…
56y · Male·Complications of clostridium difficile and malnutrition in the setting of cerebr…
…January when no improvement occurred. Key clinical lessons include: early recognition that patients with dysphagia and recurrent C. difficile may require proactive nutritional support via nasogastric feeding; considerat…
62y · Female·Complications of progressive motor neurone disease
… Ryan, 62, died from complications of progressive motor neurone disease at a palliative care unit. She had severe disability including non-verbal status, intellectual disability, epilepsy, and deteriorating swallowing. I…
53y · Male·Refractory seizures secondary to Lennox-Gastaut syndrome (palliated); pneumonia
… highlights the challenging management of refractory seizures in patients with swallowing difficulties and severe neurological disability.
60y · Female·Aspiration pneumonia in a woman with Down's syndrome with dementia and epilepsy
…ality of care. Clinically, this case highlights the challenge of managing aspiration risk in patients with severe cognitive impairment and swallowing dysfunction. Key lessons include: ensuring clear communication of high…
51y · Female·Bronchopneumonia and cerebral infarction in a woman with cerebral palsy
…oke diagnosis in patients with complex pre-existing neurological conditions and the natural progression of severe stroke with aspiration risk in palliative settings.
60y · Male·Hypoxic brain injury secondary to acute laryngeal obstruction (food bolus)
… where he required supervised meals due to intellectual disability, previous aspiration pneumonitis, and dysphagia. He had a speech pathologist's assessment recommending minced diet with full supervision. Admitted to Al…
30y · Female·Aspiration pneumonia in the setting of small bowel obstruction and Rett Syndrome
…r hospital staff. The death was from natural causes. This case highlights the vulnerability of people with severe neurological disorders like Rett Syndrome who are at high risk of aspiration; clinicians should ensure app…
64y · Male·Hypostatic bronchopneumonia complicating end stage Parkinson's disease
…ood) living in a disability group home. His Parkinson's diagnosis in 2016 led to rapid deterioration, with severe swallowing difficulties and inability to maintain oral intake by April 2019. He was admitted with dehydrat…
47y · Male·aspiration pneumonia, cerebral infarction and diabetes mellitus
…iabetes mellitus. This case underscores the significant clinical risk of fatal aspiration in patients with severe dysphagia from neurological disease. It demonstrates how declining preventive measures such as PEG feeding…
11y · Female·pneumonia complicating cytomegalovirus embryopathy
Queenie Michaels, an 11-year-old Aboriginal girl with cytomegalovirus embryopathy and severe physical and cognitive disabilities, died from pneumonia at home while in government care. She had been fo…
47y · Male·Progressive multifocal leukoencephalopathy
…r puncture confirmed JC virus infection. Despite antiretroviral therapy, his condition deteriorated with dysphagia developing. Treatment was withdrawn on 5 September 2015 after multidisciplinary discussion, and he died …
57y · Male·Right acute subdural haematoma following a fall
…ckwards and striking his head despite wearing a helmet, he developed a large acute subdural haematoma with severe brain injury and uncal herniation. Neurosurgical consultation concluded surgery would not improve outcome.…
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