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

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.

Andexanet alfa and four-factor prothrombin complex concentrate for reversal of apixaban and rivaroxaban in patients diagnosed with intracranial hemorrhage.

Limited data exists regarding the clinical outcomes of andexanet alfa and four factor prothrombin complex concentrate (4F-PCC) for reversal of apixaban or rivaroxaban in the setting of intracranial hemorrhage (ICH). The objective of this study was to evaluate clinical outcomes of 4F-PCC and andexanet alfa for reversal of ICH associated with oral factor Xa inhibitors. This was a retrospective, single-center, case series evaluating hemostatic efficacy of patients receiving andexanet alfa) or 4F-PCC for reversal of apixaban or rivaroxaban after ICH.

Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium.

Gynecological carcinosarcomas are aggressive tumors with rare occurrence and high rates of metastases. We present the case of a 49-year-old woman with vaginal bleeding and abdominal distension who was found to have a large ovarian carcinosarcoma invading the gonadal vein and inferior vena cava (IVC) and extending into right atrium (RA). She underwent gynecologic tumor resection, IVC cavotomy and en bloc resection of tumor/thrombus through the RA.