'Acute psychosis secondary to petrol sniffing +/- pneumonia.' – (Exhibit CK1d) He was procaine and haloperidol, both intramuscularly. From that time onwards, the progress notes are littered with attendances at both Amata and Pipalyatjara clinics in an agitated or psychotic state. For example, on 21 October 1991 the notes record: '4pm brought to clinic by police handcuffed fitting.' – – (Exhibit CK1d) On 12 December 1996 Kunmanara Ken was seen by Dr Kerrie Gell, who is now the Senior Medical Officer for the Nganampa Health Council. Dr Gell recorded: 'Horrible situation. (Kunmanara) Ken now aged 29 years Principal history probably at Amata Notes record: fitting with witnessed generalised seizures Abnormal behaviour Premorbid state prior to petrol sniffing not recorded Will sniff occasionally now if has opportunity Now behaviour pattern is: Episodes of uncontrollable anger which seem unpredictable, with threatening behaviour and sometimes injuries to family or others; Frightening children/sometimes according to mother triggered by children teasing him; These occurrences seem almost daily; Generalised seizures frequency unclear, less than one per week or but – surprisingly one happened today while we were at Watami; Typical, brief (less than 2 minutes) followed by very disturbed wandering postictal behaviour with threats; Sometimes nocturnal wandering which may be prompted by seizures not sure. – This young man requires 24 hour per day supervision by parents. Assessment: Unable to examine him today maybe possible with Brenton (father) there. – I would think that he may have complex partial epilepsy (anger + behavioural manifestations) with generalisation generalised seizure (frontal or temporal lobe focus). Other possibilities include hyper thalamic lesions (rage reactions) with intercurrent generalised seizures or personality disorder/intellectual disability with epilepsy. This is going to be hard to sort out. Any investigations or even respite for family will be difficult in this aggressive, large man.' (Exhibit CK1d)
'Acute psychosis – secondary to petrol sniffing +/- pneumonia.' (Exhibit CK1d) He was procaine and haloperidol, both intramuscularly. From that time onwards, the progress notes are littered with attendances at both Amata and Pipalyatjara clinics in an agitated or psychotic state. For example, on 21 October 1991 the notes record: '4pm – brought to clinic by police handcuffed – fitting.' (Exhibit CK1d) On 12 December 1996 Kunmanara Ken was seen by Dr Kerrie Gell, who is now the Senior Medical Officer for the Nganampa Health Council. Dr Gell recorded: 'Horrible situation. (Kunmanara) Ken now aged 29 years Principal history probably at Amata Notes record: fitting with witnessed generalised seizures Abnormal behaviour Premorbid state prior to petrol sniffing not recorded Will sniff occasionally now if has opportunity Now behaviour pattern is: Episodes of uncontrollable anger which seem unpredictable, with threatening behaviour and sometimes injuries to family or others; Frightening children/sometimes according to mother triggered by children teasing him; These occurrences seem almost daily; Generalised seizures – frequency unclear, less than one per week or but surprisingly one happened today while we were at Watami; Typical, brief (less than 2 minutes) followed by very disturbed wandering postictal behaviour with threats; Sometimes nocturnal wandering which may be prompted by seizures – not sure. This young man requires 24 hour per day supervision by parents. Assessment: Unable to examine him today – maybe possible with Brenton (father) there. I would think that he may have complex partial epilepsy (anger + behavioural manifestations) with generalisation generalised seizure (frontal or temporal lobe focus). Other possibilities include hyper thalamic lesions (rage reactions) with intercurrent generalised seizures or personality disorder/intellectual disability with epilepsy. This is going to be hard to sort out. Any investigations or even respite for family will be difficult in this aggressive, large man.' (Exhibit CK1d)
COOPER%20Kunmanara.docx