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Todd Paralysis
Paralysis Todd's

Presentation

She presented complete left hemiplegia in the initial assessment. [neurologia.ufsc.br]

The classic presentation of Todd syndrome is located after the condition of a generalized tonic-clonic seizure (Sánchez Flores and Sosa Barragán, 2011). [lifepersona.com]

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]

We present here a patient with medically intractable epilepsy who presented with dense hemiplegia and hemisensory loss after reported seizures at home. [ispub.com]

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]

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]

[…] disorders across the lifespan (pediatric, adult, and geriatric populations) Includes interventions and methods of treatment for the outcomes patients may experience [books.google.com]

Treatment Treatment of Todd's paralysis is symptomatic and supportive since the paralysis disappears quickly. [medigest.uk]

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]

In a large number of cases, the etiological origin of Todd syndrome is found in generalized convulsive seizures (Sánchez Flores and Sosa Barragán, 2011). [lifepersona.com]

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]

Objectives: Identify the epidemiology of Todd paresis. Describe the typical history and physical exam of a patient with Todd paresis. Review the treatment and management options available for Todd paresis. [ncbi.nlm.nih.gov]

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]

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]

Prevention

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]

Rats treated with acetaminophen or ibuprofen, a COX antagonist, prevented amnesic postictal episodes. [ncbi.nlm.nih.gov]

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]

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]

Medications and respiratory exercises are used to help prevent respiratory problems when mobility is a problem. Autonomic dysreflexia. [eyecomtec.com]

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