[Variants of Todd's paralysis: postictal apraxia and prolonged postictal hemineglect].
Todd's post-epileptic paralysis is a well-known complication after focal or generalized epileptic seizures. 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. We report 2 patients with unusual and variant post-epileptic syndromes which have not been previously described in the literature: first, an ideomotor limb apraxia, and second, a severe hemineglect syndrome. Each syndrome lasted up to 70 hours after the seizure and was completely reversible.
Helmchen
C
C
Neurologische Klinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Steinhoff
B J
BJ
Dichgans
M
M
D000328:Adult; D000368:Aged; D001072:Apraxias / Q000175:diagnosis / Q000503:physiopathology*; D001288:Attention / Q000502:physiology; D004292:Dominance, Cerebral / Q000502:physiology*; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000503:physiopathology*; D017034:Epilepsy, Frontal Lobe / Q000175:diagnosis / Q000503:physiopathology; D004829:Epilepsy, Generalized / Q000175:diagnosis / Q000503:physiopathology*; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis / Q000503:physiopathology; D004830:Epilepsy, Tonic-Clonic / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology; D006429:Hemiplegia / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D010243:Paralysis / Q000175:diagnosis / Q000503:physiopathology*; D013702:Temporal Lobe / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon
Varianten der Todd'schen Parese: Postiktuale Apraxie und prolongierter postiktualer Hemineglect.