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Petechial haemorrhage following a partial seizure with secondary generalization: atypical presentation and
J Lumsden1, C Sulliman, J Dally
1Department of Clinical Neurophysiology, Broadmoor Hospital, Crowthorne, Berkshire, UK.
Seizure
|March 1, 1994
Abstract:
A case is reported of a patient who had a respiratory arrest on a high dependency ward in a High Security Hospital with an unusual presentation. The patient had head and upper abdominal petechial haemorrhages with extensive conjunctival haemorrhaging. A considered antecedent for this potentially life-threatening presentation was strangulation. Analysis of all the available clinical information supports the hypothesis that he had a single tonic-clonic seizure with a focal-motor onset. This constitutes an unusual consequence of a partial seizure with secondary generalization.