The plaintiff went to Tallaght University Hospital A&E on 8 August 2020 complaining of a severe headache and said he had headaches over a 10-day period. Three days after attending the hospital, he collapsed from a brain bleed.
Counsel for the plaintiff told the court that while at the hospital the plaintiff received a cursory examination and was then discharged but three days later, he collapsed at his home.
It was submitted that the plaintiff suffered a very bad bleed in the brain and it was his side’s contention that a CT brain scan should have been carried out on the August visit to the hospital emergency department. Counsel submitted that a scan may have shown traces of blood cell breakdown and he could have had a lumbar puncture and been transferred to another hospital for treatment.
It was claimed that there was an alleged failure to take any reasonable or appropriate care of the plaintiff when he attended the A&E of Tallaght University Hospital in August 2020.
It was further claimed there was an alleged failure to properly examine, investigate and treat him in a timely manner. It was also claimed there was an alleged failure to give sufficient attention to his presentation and complaints of changed and increased frequency, intensity, and severity of headaches.
It was further contended that the plaintiff’s complaints were allegedly inappropriately and erroneously attributed to his longstanding migraine. There was, it was claimed, an alleged failure to investigate Mr Cully’s headaches with neurological examination in a timely manner.
Counsel for the hospital responded saying that liability was hotly contested in the case and the big issue was the contention by the defendant that the CT scan imaging should have been performed during the A&E visit.
Counsel for the hospital further submitted that it was the hospital’s case that had a CT brain scan been performed on the August visit to the emergency department, it would not have shown a brain bleed and could have been falsely reassuring. The hospital contended that it was unlikely the plaintiff suffered a brain bleed before August 11, when he collapsed at home.
All the claims were denied, and it was contended by the hospital that the plaintiff received reasonable and appropriate care when he attended the emergency department of Tallaght University Hospital on 8 August 2020.
It was further contended that the typical features of a brain bleed were absent, and it was contended that it was reasonable to attribute Mr Cully’s symptoms to a longstanding migraine history and the symptoms complained of were more in keeping with migraine. The plaintiff, the hospital claimed, was given appropriate advice, treatment, and care for the presenting complaint.
During a break, the two sides reached a settlement which was read to the judge for approval. The judge agreed on the division of liability of two thirds against the plaintiff and one third against the hospital amounting to a settlement figure of €1m.
Cully v Tallaght University Hospital
High Court (Mr Justice Paul Coffey) 9 December 2025.

