A father-of-ten who collapsed in prison during prayers had suffered a brain hemorrhage, an inquest heard.

Dr Marantos told the inquest Umbar Ali, 41, had sustained a very large bleed to the brain which caused him to become unconscious.

Ali was rushed to Hull Royal Infirmary where Dr Marantos was working as a consultant stroke physician.

He said: "I was called to help with the care of Umbar Ali. I came down and when I saw him he was sedated.

"He was comfortable. We had a look at his CT scan which showed a very extensive bleed which made him unconscious.

"The extent of the bleed was such that he could not be helped any more.

"The extent of the bleeding was also related to how [high] the blood pressure was."

Senior Coroner for Hull, Paul Marks, asked Dr Marantos if previous evidence - which stated Ali was perfectly fine before sitting back in his chair and becoming unconscious - was consistent with his findings.

Dr Marantos replied: "Yes. He probably had the bleed which caused the seizure."

Solicitor Ruth Bundey, representing the Ali family, questioned the doctor on whether a period of almost two hours between when he collapsed and entered accident and emergency had any effect on his death.

She told the inquest the family had been concerned by the amount of time it took to reach the hospital.

She said: "His collapse was at around 10.10am and he reached accident and emergency just after 12 noon. Would that gap have affected his chance of recovery?"

Dr Marantos allayed these concerns and addressed the family.

He said: "Looking at the amount of bleeding, no."

He told the inquest it was not uncommon for the hospital to treat prison patients and everything had been done to support Ali, but his condition was untreatable.

Ruth Bundey also told the inquest the family had arrived after the decision was taken to take Ali off life support, which had caused them some distress.

She added: "Are there guidelines for consulting the family?"

The doctor replied: "It is best practice to inform the family.

"The decision is taken in the best interests of the patients and then informing the family."

He told Mrs Bundey he was unaware of the circumstances of the family, who were on the way to the hospital, and it had been a decision taken by doctors for the best interests of their patient.

Representatives from HMP Humber, City Health Care Partnership and Mr Ali’s family were all present at the hearing.

The inquest continues.