Edit concept Question Editor Create issue ticket

Todd Paralysis

Paralysis Todd's


Presentation

  • She presented complete left hemiplegia in the initial assessment.[neurologia.ufsc.br]
  • The patient’s left hemiparesis improved to normal within 2 hours of presentation.[ncbi.nlm.nih.gov]
  • Each entry follows a 5 section structure that will cover (1) essential features of the disorder (2) physiological basis of the disorder (3) neuropsychological and other clinical presentation (4) assessment and diagnostic practices (5) evidence-based treatments[books.google.com]

Workup

Normal Interictal EEG
  • A normal interictal EEG does not eliminate the possibility of a seizure focus, nor does a normal EEG rule out a structural lesion.[the-medical-dictionary.com]
Focal Epileptiform Discharges
  • Benign focal epileptiform discharges in childhood migraine (BFEDC). Neurology Nov 198232(11): 1309–1311, DOI: [ PubMed ] Striano, P, Belcastro, V, Verrotti, A and Parisi, P (2011).[pediatricneurologybriefs.com]
Taenia Solium
  • New concepts in the diagnosis and management of neurocysticercosis (Taenia Solium) Am J Trop Med Hyg. 2005; 72: 3-9. * Rolak LA, Rutecki P, Ashizawa T, Harati Y. Clinical features of Todd’s post-epileptic paralysis.[neurologia.ufsc.br]

Treatment

  • It is important to distinguish Todd's paralysis from a stroke, which it can resemble, because a stroke requires completely different treatment. Treatment There is no treatment for Todd's paralysis.[ninds.nih.gov]
  • Direct in style but comprehensive in content, with ample tables and summaries, the Handbook of Epilepsy Treatment covers: Treatment of the different forms and causes of epilepsy Treatment in the different commonly encountered clinical situations Treatment[books.google.com]
  • The underlying cause and pathology is completely different and they require completely different treatment. How Is it Treated? There is no specific treatment indicated for paralysis following a seizure. The paralysis resolves on its own.[nervous-system-diseases.com]

Prognosis

  • Prognosis Todd's paralysis is an indication that an individual has had an epileptic seizure.[ninds.nih.gov]
  • What is the prognosis? An occurrence of Todd's paralysis indicates that a seizure has occurred. The prognosis for the patient depends upon the effects of the seizure, not the occurrence of the paralysis.[medic8.com]
  • The prognosis for the person depends upon the effects of the seizure, not the occurrence of the paralysis.[nervous-system.emedtv.com]
  • Prognosis The prognosis of Todd's paralysis is excellent, with full recovery to be anticipated. Resources BOOKS Pedley, Timothy A. "The Epilepsies." Cecil Textbook of Internal Medicine , edited by Lee Goldman, et al. Philadelphia: W.B.[encyclopedia.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • It is likely that the etiology is multifactorial in nature 1-4 . This pathophysiology is thought to be similar to that underlying hemiconvulsion-hemiplegia epilepsy syndrome 4 .[radiopaedia.org]
  • 1 Todd's Paralysis: A Crucial Entity Masquerading Stroke in the Emergency Department. ( 28104359 ) 2017 2 Old Stroke as an Independent Risk Etiology for Todd's Paralysis. ( 28476507 ) Sato K....Takeuchi S. 2017 3 Bilateral humeral fractures mimicking[malacards.org]
  • NCC as etiology for epilepsy must be considered in all patients coming from endemic areas, and DA was living in a region where this trouble is quite common.[neurologia.ufsc.br]
  • Adult first generalized seizure: etiology, biological tests, EEG, CT scan, in an ED. Am J Emerg Med. Jan 1995;13(1):1-5.[cdemcurriculum.com]

Epidemiology

  • As she presented positive epidemiology for cysticercosis, a TC scan was carried out and it showed many typical neurocysticercosis lesions (NC) in different evolutive stages, one of them close to the right motor area (Figures 1 to 4).[neurologia.ufsc.br]
  • Definition References: [1] [2] [3] [4] [5] Epidemiology References: [6] Epidemiological data refers to the US, unless otherwise specified.[amboss.com]
  • Epidemiology A first ever TIA affects approximately 50 people per 100,000 of the UK population each year [ 1 ]. TIA is more common with increasing age. It is rare under the age of 60 years.[patient.info]
  • The Epidemiology of Epilepsy. Neurologic Clinics 1996;14(2):383-398. 5. Schachter SC. Epilepsy. Neurologic Clinics 2001;19(1):57-78. 6. Dhaliwal HS. Index of suspicion, Case 3, Diagnosis Todd paralysis. Pediatr Rev 1998:19(11):387-388. 7.[hawaii.edu]
Sex distribution
Age distribution

Pathophysiology

  • The underlying pathophysiology, however, is still unknown. Commonly, it is associated with a hemiparesis, usually lasting minutes or hours, rarely as long as two days, with subsequent complete remission.[unboundmedicine.com]
  • The authors provide for each form of SE the underlying genetic, biological, and developmental background, the pathophysiological processes, as well as the precipitating factors that lead to an episode.[books.google.com]
  • This pathophysiology is thought to be similar to that underlying hemiconvulsion-hemiplegia epilepsy syndrome 4 . CT Non-contrast CT brain is generally unremarkable unless there is an underlying condition 2,5-7 .[radiopaedia.org]
  • Conclusions Our case provides an insight into the potential pathophysiology mechanism underlying Todd’s paralysis and the practicality of magnetic resonance perfusion studies in localizing an epileptogenic zone in the postictal patient.[ncbi.nlm.nih.gov]
  • Despite the fact that migraine and epilepsy are clearly distinct disorders, it has been suggested that they could share some pathophysiologic mechanisms and clinical manifestations.[pediatricneurologybriefs.com]

Prevention

  • The research focuses on increasing knowledge of these conditions, and finding ways to prevent and treat them. Expected Outcome Full recovery within hours to days is expected.[ourmed.org]
  • Nevertheless, the awareness of this post-ictal phenomenon and its spontaneous resolution within hours from the onset is crucial in the paediatric setting as early diagnosis may prevent unneeded hospitalization and further investigations, as well as helping[pediatricneurologybriefs.com]
  • Much of this research focuses on finding successful methods to prevent Todd's paralysis in individuals with epilepsy. Information from the National Library of Medicine’s MedlinePlus Paralysis Date last modified: Wed, 2019-03-27 16:20[ninds.nih.gov]
  • Some of these tests include: Treatment and Prevention Of Postictal Paralysis The best way to prevent postictal paralysis is by preventing seizures from happening.[verywell.com]
  • Secondary prevention See also separate Prevention of Cardiovascular Disease article. Lifestyle advice should always include smoking cessation, weight loss if overweight or obese, and a healthy diet. Exercise should also be encouraged [ 7 ].[patient.info]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!