Bilateral Todd's paralysis after focal seizures.
Transient postictal hemiparesis or monoparesis is not uncommon after partial (focal) seizures. We report 2 patients who complained of severe bilateral limb weakness after generalized tonic-clonic seizures (GTCS) beginning focally. Bilateral Todd's paralysis was verified and documented in both patients. EEG and clinical evidence indicate the supplementary motor cortex as the most likely source of the seizures in both cases.
Bergen
D C
DC
Department of Neurological Sciences, Rush Medical College, Chicago, Illinois 60612.
Rayman
L
L
Heydemann
P
P
D000293:Adolescent; D002648:Child; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D004829:Epilepsy, Generalized / Q000150:complications; D004830:Epilepsy, Tonic-Clonic / Q000150:complications; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006429:Hemiplegia / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D009044:Motor Cortex / Q000503:physiopathology