II. Definitions
- Todd Paresis
- Focal onset Seizure, typically leading to Hemiparesis
III. Background
- First described by Robert Bentley Todd in 1849
IV. Epidemiology
- Follows 13% of Seizures
V. Pathophysiology
VI. Signs
- Focal Seizure precedes weakness
- Motor weakness (from mild to complete paralysis) in limb opposite the side of the Seizure
- Other neurologic presentations
- Extraocular Movement deficit (Gaze Palsy)
- Aphasia
- Sensory deficit
- Visual Field Deficit
VII. Labs
- Bedside Glucose
- See Cerebrovascular Accident
VIII. Differential Diagnosis
- Cerebrovascular Accident
- Hemiplegic Migraine
- Hypoglycemia
IX. Imaging: First Episode
- Evaluate as Cerebrovascular Accident
- Exception: Clear history of Focal Seizure preceding event and known history of Todd's Paralysis
- CT Head
- CT Angiogram Head and Neck
- Consider MRI Brain
X. Evaluation
- See Cerebrovascular Accident
- Known history of Todd's Paralysis may circumvent significant workup
XI. Course
- Residual neurologic deficits may last up to 24-36 hours (mean 15 hours)
XII. References
- Mastriana, Pay and Taylor (2019) Todd Paresis, StatPearls, accessed 6/6/2019
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Related Studies
Concepts | Sign or Symptom (T184) |
MSH | D010243 |
SnomedCT | 66264000 |
English | Paralysis, Todd's, Postseizure paralysis, Paralysis, Todd, Todd's Paralysis, Todds Paralysis, Todd paresis, todd's paralysis, todd paralysis, todd's paresis, todds paralysis, todd's paralysis (diagnosis), Postictal paralysis, Todd's paralysis, Todd's paresis, Todd's paresis (finding), Todd; paralysis, paralysis; Todd, Todd Paralysis |
Italian | Paralisi post-ictus, Paralisi di Todd |
Dutch | paralyse van Todd, Todd; paralyse, paralyse; Todd, postictale paralyse |
German | Todd-Paralyse, Nachschlafparalyse |
Portuguese | Paralisia de Todd, Paralisia pós-íctica |
Spanish | Parálisis de Todd, parálisis postconvulsiva (hallazgo), parálisis de Todd, parálisis de Todd (hallazgo), parálisis postconvulsiva, parálisis posconvulsiva, parálisis postictal, Parálisis postictal |
Japanese | 発作後麻痺, トッド麻痺, ホッサゴマヒ, トッドマヒ |
French | Paralysie de Todd, Paralysie post-critique, Paralysie épileptique post-critique |
Czech | Pozáchvatová obrna, Toddova paralýza, Toddova paréza |
Hungarian | Todd-féle paralysis, Postictalis paralysis |
Norwegian | Todds paralyse, Todds lammelse |