196 results for “CT scan (brain)”
83y · Male·Acute subdural haemorrhage following a fall
… on warfarin 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 subd…
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
…oman 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 suggesting h…
80y · Female·subdural haematoma due to closed head injury sustained in a fall from bed in hos…
…ut a possible head injury, the House Medical Officer incorrectly concluded no injury had occurred and no CT scan was performed. Two days later, when the patient became unresponsive, she was treated with a full dose of an…
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…
41y · Female·Left middle cerebral artery territory ischaemic stroke
A 41-year-old registered nurse presented to the Emergency Department with altered consciousness on 28 May 2015. She was initially assessed as having a possible medication overdose rather than acute stroke, despite later …
24y · Male·acute hydrocephalus due to undiagnosed colloid cyst of the third ventricle of th…
… concerned about possible space-occupying lesion, arranged urgent transfer to Griffith Base Hospital for CT scan. However, Drs Hall and Wark misdiagnosed alcohol withdrawal despite weak evidence (patient abstinent 2 week…
34y · Female·Aspiration pneumonia due to traumatic brain injury
…a persistent vegetative state throughout her hospitalisation. She died whilst undergoing a routine CT brain scan at Royal Hobart Hospital, having aspirated and become haemodynamically unstable. The coroner's investigatio…
62y · Female·subacute subdural haematoma due to a closed head injury sustained in a fall from…
A 62-year-old woman on warfarin for a mechanical aortic valve sustained a head injury from a fall. A CT scan on day 5 post-injury identified a small extradural haematoma, but the radiologist (Dr J.) failed to report …
83y · Male·Metastatic oesophageal adenocarcinoma
George Iles, an 83-year-old prisoner, died from metastatic oesophageal adenocarcinoma. He had multiple comorbidities (asthma, hypertension, heart disease) and experienced falls and deterioration during incarceration. In …
81y · Male·acute subdural haematoma
…a cardiac cause for syncope based on chest pain, referred him for cardiology, and did not perform a head CT scan despite clear evidence of head injury. The Canadian CT Head Rule, which mandates imaging for patients over …
64y · Male·Complications of Creutzfeldt-Jakob Disease following a fall
…t. On 7 August, he fell backwards, hitting his head, but was assessed as orientated with no bruising. No CT scan was performed despite being on anticoagulation (rivaroxaban). Over subsequent days he deteriorated with sti…
28y · Male·Traumatic intracranial haemorrhage sustained in an unwitnessed fall
A 28-year-old man died from traumatic intracranial haemorrhage following an unwitnessed fall at his apartment building. He had been heavily intoxicated (blood alcohol 0.27 g/100mL, cocaine positive) at a social event and…
31y · Male·metastatic alveolar soft part sarcoma
31-year-old man serving a custodial sentence died of metastatic alveolar soft part sarcoma on 25 January 2022. Diagnosed April 2020, the ultra-rare cancer (1 in 10 million incidence) had already metastasised at discovery…
81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…
Graham Joseph Butson, 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 w…
10y · Female·congenital hydrocephalus
…ospital could not be electronically accessed for comparison. While her clinical presentation and initial CT scan were consistent with a blocked shunt, clinicians at the treating hospital lacked access to prior imaging th…
89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…
…nt disruption and spinal cord compression, converting the injury to a C5-C6 paraplegia/quadriplegia. An MRI scan would have detected the ligamentous injury and prevented mobilisation. The patient underwent delayed neuros…
71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges
A 71-year-old man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical dete…
85y · Male·Intracranial haemorrhage in the setting of a fall in a man with multiple comorbi…
…iple comorbidities suffered a fall at home and was transported to hospital with stroke symptoms. A CT brain scan revealed subtle subarachnoid haemorrhage (traumatic), but the VST consultant neurologist missed this findin…
91y · Female·Complications of pelvic fractures sustained in a fall
A 91-year-old woman with osteoporosis and multiple comorbidities sustained pelvic fractures in a mechanical fall at home. She presented to the ED where initial hip x-ray showed no fracture. She deteriorated with hypotens…
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
…Hospital, where resident intern Dr P. also diagnosed concussion. The following morning, Dr W. arranged a CT scan, but it could not be completed without sedation. Dr A. delayed the scan until 13 April, stating Dwayne appe…
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