title: Petechial haemorrhage following a partial seizure with secondary generalization: atypical presentation and differential diagnosis.
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.
authors.affiliation: Department of Clinical Neurophysiology, Broadmoor Hospital, Crowthorne, Berkshire, UK.
authors.forename: J
authors.initials: J
authors.lastname: Lumsden
authors.forename: C
authors.initials: C
authors.lastname: Sulliman
authors.forename: J
authors.initials: J
authors.lastname: Dally
authors.forename: A
authors.initials: A
authors.lastname: West
authors.forename: P B
authors.initials: PB
authors.lastname: Fenwick
authors.forename: G W
authors.initials: GW
authors.lastname: Fenton
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004828:Epilepsies, Partial / Q000150:complications*; D004834:Epilepsy, Post-Traumatic / Q000150:complications; D004830:Epilepsy, Tonic-Clonic / Q000150:complications; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D011693:Purpura / Q000209:etiology*