Abstract

A 58-year-old man was admitted after a generalized
tonic-clonic seizure. The neurological examination was
normal, except for bilateral periorbital, enoral and superior thoracic petechiae, which had only occurred after the seizure. The blood pressure, CT scan of the brain and
routine laboratory were unremarkable.
Seizure-related petechial rash is a rare finding that
might be helpful for the diagnosis of an epileptic event in
the absence of other objective signs [1, 2] . It may occasionally show a predilection for the periorbital area, as in our case. The petechiae generally resolve spontaneously and do not need special treatment [3] .