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Postictal thoracocervicofacial purpura
  1. Paulo Victor Sgobbi de Souza,
  2. Thiago Bortholin,
  3. Wladimir Bocca Vieira de Rezende Pinto,
  4. Adrialdo José Santos
  1. Neurology and Neurosurgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
  1. Correspondence to Dr Wladimir Bocca Vieira de Rezende Pinto, Department of Neurology and Neurosurgery, UNIFESP - Federal University of São Paulo, Pedro de Toledo Street 650, Sao Paulo 04023-900, Brazil; wladimirbvrpinto{at}

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A 28-year-old Brazilian man presented with a 2-hour history of headache and skin lesions in the shoulder girdle, face and upper trunk. Two hours before, he had a generalised tonic-clonic seizure, his third since being diagnosed with genetic generalised epilepsy 1 year before. Each previous episode had been accompanied by the same pattern of skin lesions, which improved after 48 hours. On examination, …

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  • Contributors All authors have contributed equally to this manuscript. No other subjects were authors of this manuscript.

  • Competing interests None declared.

  • Ethics approval Full consent was obtained from the patient for the case report. This study was approved by our Ethics Institution.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Mark Manford, Cambridge, UK.

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