局灶性癫痫发作后的双侧托德麻痹

Bilateral Todd's paralysis after focal seizures.

作者信息

Bergen D C, Rayman L, Heydemann P

机构信息

Department of Neurological Sciences, Rush Medical College, Chicago, Illinois 60612.

出版信息

Epilepsia. 1992 Nov-Dec;33(6):1101-5. doi: 10.1111/j.1528-1157.1992.tb01766.x.

DOI:10.1111/j.1528-1157.1992.tb01766.x

PMID:1464271

Abstract

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.

摘要

部分性（局灶性）癫痫发作后短暂的发作后偏瘫或单瘫并不少见。我们报告了2例患者，他们在局灶性起病的全身强直阵挛发作（GTCS）后出现严重的双侧肢体无力。两名患者均证实并记录有双侧托德麻痹。脑电图和临床证据表明，在这两例病例中，辅助运动区皮质最有可能是癫痫发作的起源。