Deceased
TANER KIRIM
Demographics
17y, male
Coroner
Coroner John Olle
Date of death
2009-01-19
Finding date
2011-02-17
Cause of death
Epilepsy with contributing factors of cerebral palsy and intellectual disability
AI-generated summary
Taner Kirim, a 17-year-old with cerebral palsy, intellectual disability and poorly controlled epilepsy, died in his sleep at a residential care facility. He was in out-of-home care through the Department of Human Services. The autopsy confirmed death from epilepsy with contributing factors of cerebral palsy and intellectual disability. Therapeutic levels of antiepileptic medications (valproic acid and lamotrigine) were detected. The case highlights the risks of sudden unexpected nocturnal death in epilepsy (SUDEP) in young people with severe neurological impairment. Clinical lessons include the importance of seizure management optimisation, night-time monitoring protocols in residential care settings, and consideration of rescue medications or additional safety measures for high-risk patients.
AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Rule 60(1)
Court reference: 287/09
Section 67 of the Coroners Act 2008
Inquest into the Death of TANER KIRIM
Delivered On:
Delivered At: -
Hearing Dates:
Findings of:
Place of death:
17th February 2011
Melbourne
17th February 2011
28 Bayview Road, Frankston, Victoria 3199
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Rule 60(1)
FINDING INTO DEATH WITH INQUEST Section 67 of the Coroners Act 2008
Court reference: 287/09
In the Coroners Court of Victoria at Melbourne
I, JOHN OLLE, Coroner
having investigated the death of:
Details of deceased: Surmame: KTRIM Firstname: TANER -
Address: 28 Bayview Road, Frankston, Victoria 3199 .
AND having held an inquest in relation to this death on 11th J anuary 2011 at Mctbourne |
find that the identity of the deceased was TANER KIRIM and death occurred on 19th January, 2009 at 28 Baybicw Road, Frankston, Victoria 3199 from |
la, EPILEPSY :
in the following circumstances:
Taner was in care
Unit since December, 2008. At the time of his death, he was on an Interim Accommodation Order for "Out of Honie Services".
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The 17th January, 2009
4, Mr Dube explained that Taner was fed though his PEG feed and nappy’s changed: "The last time I saw Taner alive was at 9.45pm.
The next morning I got up and opened the door for my then co-worker Darya, I got Taner’s feeds ready and was the Ist to go to check him. When I walked into his room, I saw that he had a pale look on his face and I immediately knew something was wrong. T called out to Darya to come quick and we checked fora pulse and called for Megan the manager, and the ambulance. The ambulance arrived within 5 minutes, followed by the
police."
Post Mortem Medical Examination
On the 21st January, 2009, Dr Shelley Robertson, Forensic Pathologist at the Victorian Institute of Forensic Medicine, performed an autopsy on the body of Taner Kirim.
She found the cause of death to be epilepsy with contributing factors of cerebral palsy and intellectual disability.
“This 17 year old male, Taner Kirim, died from natural causes with the most likely cause of death being related to his clinical history of epilepsy. He had evidence of macroscopic brain abnormality. Toxicological analysis was negative for ethanol and showed levels of valproic acid and lamotrigine which are consistent with therapeutic usage."
cared for Taner throughout his life. His declining health and associated weight loss lead to his out of home placement in December 2008.
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Finding
I find Taner Kirim died of epilepsy with contributing factors of cerebral palsy and intellectual disability.
Signature:
John Olle Coroner 17th Febrwiary 2011
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