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NSWcommunity2026-03-25

Inquest into the death of Jesse Riley

31y · Male·Status epilepsy secondary to cerebral cavernoma

Jesse Riley, a 31-year-old with undiagnosed cerebral cavernoma, experienced status epilepticus triggered by an unknown cause (possibly nicotine from recent vaping). While in post-ictal delirium, he was perceived as aggre…

paramedicineemergency medicinecommunicationsystemdroperidol
NSWhospital2026-03-10

Inquest into the death of Mustafa Kayirici

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…

oncologypalliative caredelaypazopanib
NSWhospital2025-12-19

Inquest into the death of JBO

27y · Female·Cardiac arrhythmia (first confirmed as ventricular fibrillation) of unascertaine…

A 27-year-old Aboriginal woman suffered sudden cardiac arrhythmia (ventricular fibrillation) immediately after recording video evidence of a suspected breach of her protective apprehended personal violence order (APVO). …

emergency medicinecardiologycommunicationsystemamiodarone
NSW2025-12-08

Inquest into the death of Benjamin Cullen

41y · Male·acute, severe hydrocephalus contributed to by longstanding chronic hydrocephalus…

Benjamin Cullen, aged 41, died on 25 February 2021 from acute severe hydrocephalus secondary to a brain tumour abutting the cerebral aqueduct. He suffered three seizures on 23 February 2021, two days after release from P…

neurologyemergency medicinemedicationsystemlevetiracetam
NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

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

Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him…

emergency medicineneurology
NSWhome2025-09-11

Inquest into the death of H GM

0y · Female·Unascertained

A 9-month-old girl died suddenly on 23 July 2018 following multiple head injuries from blunt force trauma sustained shortly before death. She had presented to medical practitioners multiple times in the preceding weeks w…

paediatricsemergency medicinediagnostic
NSW2025-09-03

Inquest into the death of Daniel Leehy

47y · Male·ischaemic heart disease with seizure disorder and schizophrenia being other sign…

Daniel Leehy, a 47-year-old man in custody, died from ischaemic heart disease with significant coronary artery narrowing (60-80%) identified at autopsy. He had a 42-year history of epilepsy and schizophrenia with frequen…

forensic medicinepsychiatrysodium valproate
NSW2025-02-28

Inquest into the death of Cameron De Vries

20y · Male·Drowning precipitated by a seizure

Cameron De Vries, a 20-year-old man with severe autism spectrum disorder and global developmental delay, died by drowning precipitated by a seizure in a bathtub at a disability support home. He had experienced a seizure …

emergency medicineneurologydiagnosticsystemranitidine
NSWhospital2024-10-29

Inquest into the death of Roger Rogerson

83y · Male·Intracranial haemorrhage

Roger Rogerson, aged 83, died from intracranial haemorrhage due to cerebral amyloidosis while in custody at Long Bay Correctional Centre. He had been an inmate for nearly ten years. His condition deteriorated significant…

neurologygeriatric medicine
NSWhospital2024-10-11

Inquest into the death of AX

45y · Female·Multiple blunt force injuries

A 45-year-old woman with acute psychotic illness attended Prince of Wales Hospital ED on 4 August 2020 after presenting to police with persecutory delusions. She was assessed by mental health and medical clinicians who a…

emergency medicinepsychiatrydiagnosticcommunication
NSWcommunity2024-05-03

Inquest into the death of Keith Titmuss

20y · Male·exertional heat stroke

A 20-year-old professional rugby league player collapsed and died from exertional heat stroke after his first pre-season training session following an extended off-season break. Keith had the lowest aerobic fitness of hi…

sports medicineemergency medicinesystemdelaymidazolam
NSWcommunity2023-11-07

Inquest into the death of AAB

26y · Male·acute cocaine and alcohol toxicity

AAB, a 26-year-old man with a history of substance abuse and mental health issues, died from acute cocaine and alcohol toxicity while in police custody. He presented to a hotel with agitated, paranoid behaviour and was d…

emergency medicinetoxicologycocaine
NSWhome2023-04-26

Inquest into the death of AX

70y · Female·Cause of death could not be determined - available evidence does not allow a fin…

A 70-year-old woman died unexpectedly at home in August 2017. Initially certified as hypertensive heart disease without autopsy, the death was later investigated as a potential homicide following allegations by her forme…

forensic medicinecardiologysystemdelaycandesartan
NSWcommunity2023-03-24

Inquest into the disappearance and suspected death of Annemarie Jeffery

73y · Female·Unknown

Annemarie Jeffery, a 73-year-old woman with a history of epilepsy and mild cognitive impairment, disappeared from a campground near Brooms Head NSW on 25 August 2020. She had left the group to visit the toilet block and …

neurologygeneral practicelevetiracetam
NSW2023-02-03

Inquest into the death of Roy Roberts

33y · Male·Prolonged epileptic seizure resulting in gastric content aspiration and cardiac …

Roy Roberts, a 33-year-old Aboriginal man, died at Long Bay Correctional Complex from a prolonged epileptic seizure resulting in aspiration and cardiac arrest. He had experienced three prior seizure-like episodes in Apri…

emergency medicinegeneral practicediagnosticcommunicationmethadone
NSW2022-11-22

Inquest into the death of Kai McEwan

25y · Male·Ruptured berry aneurysm and sequelae resulting in catastrophic subarachnoid and …

A 25-year-old Aboriginal man on remand in custody collapsed during a shower and was found to have suffered a catastrophic ruptured berry aneurysm causing massive subarachnoid and intracerebral haemorrhage with brain deat…

neurosurgeryintensive careaspirin
NSWhospital2022-10-26

Inquest into death of Lucas PEYRET

21y · Male·Hypoxic brain injury arising from severe anaphylactic shock due to administratio…

Lucas Peyret, a 21-year-old with no significant medical history, presented to hospital with acute appendicitis and underwent emergency laparoscopic appendicectomy. Surgery was routine and uneventful. Upon emergence from …

surgeryanaesthesiasugammadex
NSWhospital2022-08-17

Inquest into the death of Michael Quinn

31y · Male·sepsis due to urosepsis and pneumonia on a background of C3 incomplete tetrapleg…

Michael Quinn, a 31-year-old quadriplegic inmate, died from sepsis secondary to urosepsis and pneumonia. He had C3 incomplete tetraplegia from a self-inflicted stab wound in 2013 and was serving a 20-year sentence. An in…

urologyinfectious diseases
NSW2022-07-22

Inquest into the death of Daniel KING

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

Daniel King died following multiple gunshot wounds sustained during a police operation. He had acquired a firearm and attended three locations in western Sydney, discharging it before arriving at Penrith Police Station w…

psychiatryneurologysystemcocaine
NSW2022-03-17

Inquest into the death of David HALL

55y · Male·Consequences of urothelial cancer

David Hall, aged 55, died in custody at Long Bay Correctional Facility from metastatic urothelial cancer. He had multiple comorbidities including multiple sclerosis, epilepsy, and history of bladder cancer treated with c…

oncologyurologymorphine

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