Postictal Petechiae as a Cutaneous Manifestation Following Generalized Tonic-Clonic Seizures

Cureus. 2022 Feb 21;14(2):e22437. doi: 10.7759/cureus.22437. eCollection 2022 Feb.

Abstract

Identifying cutaneous manifestations associated with systemic diseases is a crucial task for dermatologists and other providers in the outpatient and inpatient settings. Here, we present a rare case of postictal petechiae occurring after a generalized tonic-clonic seizure in a patient with poorly controlled epilepsy. This case illustrates a unique and underrecognized entity that may serve as the only cutaneous clue to assist in the diagnosis of recent seizure activity.

Keywords: cutaneous manifestation; generalized seizure; generalized tonic-clonic seizures; petechiae; postictal petechiae; uncommon rash.

Publication types

  • Case Reports