Despite finding an expert witness’s differential diagnosis and opinion to be unreliable, the Missouri Court of Appeals concluded that other substantial evidence at trial tended to prove a patient’s death occurred from an alleged Vyvanse-induced stroke and upheld a $801,000 damages award against a St. Louis-area psychiatrist.

In a June 11 opinion, authored by Missouri Court of Appeals Judge Cristian M. Stevens, the court concluded that while there was an “obvious problem” with the plaintiff’s expert’s opinion, who had never encountered or reviewed a case in which a person had a stroke and died from Vyvanse use, it declined to reverse the judgment.