Coronial

274 results for CT brain

TAShospital2025-03-17

Coroner's Finding: Phillips, Helen Lynette

77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)

…ar-old woman fell from a ladder on 12 December 2022, suffering loss of consciousness and rib fractures. No brain CT scan was performed at Mersey Community Hospital despite the mechanism of injury and unconsciousness sug…

emergency medicinecardiologydiagnosticdelaythrombolytic agents
TAShome2016-07-14

Coroner's Finding: Bedford, Sidney

83y · Male·Acute subdural haemorrhage following a fall

…anticoagulation therapy. He was transported to Launceston General Hospital where an initial CT scan of the brain was misread as normal by radiologist Dr M., who failed to identify a small (3-4 mm) acute subdural haemato…

emergency medicineradiologydiagnosticwarfarin
VIChospital2017-07-13

Finding into death of Michelle Louise Rosevear

41y · Female·Left middle cerebral artery territory ischaemic stroke

…despite later learning she had reported weakness on her right side and suspected stroke that morning. A CT brain was not ordered initially; it was performed 8+ hours after presentation (8:21 pm), confirming a large left…

emergency medicineneurologydiagnosticdelayquetiapine
VIChospital2014-01-30

Finding into death of Kerri Louise Gunn

41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…

…lower limb oedema. She was admitted under general physician Dr S. after ED assessment by Dr McKenzie. A CT brain performed that evening was reported as normal. Despite clinical concern for cerebral venous thrombosis doc…

emergency medicinegeneral medicinediagnosticdelayparacetamol
TAShospital2024-12-17

Coroner's Finding: Brown, Paul Louis

64y · Male·Subdural haematoma with mass effect following thrombolysis for acute myocardial …

…complex medical history including diabetes, mental illness, chronic alcohol misuse, and previous traumatic brain injury was admitted with diabetic ketoacidosis and acute kidney injury. He developed acute myocardial infa…

intensive carecardiologytenecteplase
TAS2016-06-29

Coroner's Finding: McDougall, Kirsten

34y · Female·Aspiration pneumonia due to traumatic brain injury

…ugall, aged 34, died on 20 July 2015 from aspiration pneumonia, 16 months after suffering severe traumatic brain injury in a single-vehicle motor crash on 7 February 2014 on the Midland Highway in Tasmania. The crash oc…

SAhospital2018-03-29

Coroner's Finding: BUTSON Graham Joseph

81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…

…on, aged 81, died from aspiration of gastric contents complicating undiagnosed metastatic lung cancer with brain metastases. He presented with confusion, agitation and atrial fibrillation; a lung mass was suspected but …

orthopaedic surgerygeneral medicinesystemwarfarin
NSWhospital2014-05-09

Inquest into the death of Brendan BURNS

24y · Male·acute hydrocephalus due to undiagnosed colloid cyst of the third ventricle of th…

…ent 2 weeks, minimal withdrawal screen), and discharged him without imaging. Brendan suffered catastrophic brain herniation overnight and died in Sydney the next day. The coroner found the failure to order CT scan despi…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
VIChospital2021-04-08

Finding into death of Ian Lindsay Gould

64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall

…ilepticus on EEG, and ultimately sporadic Creutzfeldt-Jakob Disease (CJD) confirmed by lumbar puncture and brain biopsy. The coroner found that while BHS head injury guidelines did not reflect current standard practice …

neurologyophthalmologysystemrivaroxaban
TAShospital2015-09-07

Coroner's Finding: Weir, Mary

80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…

An 80-year-old woman with chronic heart failure admitted to hospital fell from bed and hit her head. Although nursing staff were concerned about a possible head injury, the House Medical Officer incorrectly concluded no …

emergency medicinegeneral medicinediagnosticmedicationaspirin
VIC2026-01-28

Finding into death of L N

28y · Male·Traumatic intracranial haemorrhage sustained in an unwitnessed fall

…ial event and fell down stairs in the communal area around 11:15pm. He was found conscious but with severe brain injury, intubated on arrival at hospital, and declared brain dead within 48 hours. The coroner found the d…

intensive careneurosurgeryalcohol
QLDhospital2009-11-11

Baker, Philip

55y · Male·Haemorrhagic brain stem infarction due to hypertensive heart disease

…showed no acute pathology, but subsequent CT and MRI scans revealed subarachnoid haemorrhage and extensive brain stem infarction. He was transferred to Brisbane where he deteriorated and died. The coroner found the brai…

emergency medicinegeneral medicinemorphine
VIC2012-02-14

Finding into death of George Iles

83y · Male·Metastatic oesophageal adenocarcinoma

…ls and deterioration during incarceration. In 2009, he was diagnosed with oesophageal adenocarcinoma and a brain tumour. He was transferred to the prison hospital ward for palliative care in September 2009 and died in O…

oncologypalliative care
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
TAShospital2024-10-18

Coroner's Finding: Long, Leonard

73y · Male·subdural haematoma from fall

…ild head pain, and confusion, but the post-fall clinical pathway form was not properly completed and no CT brain was performed. A second fall occurred on 2 February without imaging. On 3 February, he deteriorated with a…

general medicineemergency medicinediagnosticsystemwarfarin
SAhospital2012-03-26

Coroner's Finding: SWEETMAN Amber Jayne

10y · Female·congenital hydrocephalus

…ressure (ICP) but the diagnosis was significantly delayed—approximately 90-100 minutes—because previous CT brain imaging stored at another hospital could not be electronically accessed for comparison. While her clinical…

emergency medicineneurosurgerydiagnosticcommunicationmidazolam
TAShospital2021-03-19

Coroner's Finding: Master T

3y · Male·Hypoxic brain injury secondary to cardiorespiratory arrest, possibly secondary t…

Master T, aged 3 years, died from hypoxic brain injury secondary to cardiorespiratory arrest, likely due to aspiration pneumonitis. He had severe congenit…

paediatricsintensive careparacetamol
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died …

neurologyneurosurgeryanti-seizure medications
VIChospital2023-05-24

Finding into death of Mr V

73y · Male·Combined effects of cerebrovascular accident and subsequent iatrogenic related i…

…0. He was misdiagnosed with Bell's palsy despite clinical features suggestive of stroke. A non-contrast CT brain (inadequate for stroke evaluation) was performed instead of CT perfusion. He was discharged with prednisol…

emergency medicineneurologydiagnosticcommunicationprednisolone
WAhospital2013

Inquest into the Death of Davies, Adriana Elise

46y · Female·brain swelling and dural venous thrombosis in association with low grade glioma …

Dr D., a 46-year-old medical practitioner, died from brain swelling and dural venous thrombosis associated with a low-grade glioma. She presented to Albany Hospital …

general practiceneurosurgerydiagnosticcommunicationprochlorperazine
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