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All Journal Jurnal Kedokteran Diponegoro
Sandy Adi Nugraha Pratama
Medical Profession, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
Medicine & Pharmacology

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MEDICOLEGAL AND ETHICAL ASPECTS OF A DEATH CASE DUE TO EPILEPSY: CLINICAL CASE, CLINICAL FORENSICS, OR FORENSIC PATHOLOGY? Adji Suwandono; Hedva Rayna Hitipeuw; Funica Asri Rachmawaty; Sandy Adi Nugraha Pratama; Alfonsus Aryo Sunu Bakti
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 1 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i1.53109

Abstract

Background: An unwitnessed death in a man with epilepsy, found in a bathroom with a head injury and immersion, raises key clinical and forensic concerns. This case highlights the complex intersection between epilepsy-related death, head trauma, and possible drowning. Case Presentation: A 39-year-old man with a history of epilepsy was found unconscious in the bathtub, face down with his head submerged and a bleeding forehead wound, approximately 10 minutes after showering. The man had a history of monthly generalized tonic-clonic seizures with recurrent falls and head injuries, and was on regular antiepileptic medicine. On admission, he was unresponsive with a GCS of E1V1M1, absent vital signs, dilated pupils, decreased skin temperature, and a laceration wound on the forehead. An ECG showed asystole. Conclusion: This case reviews the high risk of sudden death in patients with epilepsy, likely involving seizure-induced trauma and possible drowning. It emphasizes the need for comprehensive epilepsy management and thorough medicolegal evaluation to determine the cause of death.
Co-Authors Adji Suwandono Alfonsus Aryo Sunu Bakti Funica Asri Rachmawaty Hedva Rayna Hitipeuw