Winsløw Frederik, Meden Per, Havsteen Inger Birgitte, Tsiropoulos Ioannis
Ugeskr Laeger. 2021 Apr 19;183(16).
Todd's paralysis is a clinical entity consisting of acute focal neurological deficits following an epileptic seizure. It occurs after 6-13% of seizures, and the symptoms may last from minutes to 36 hours. Stroke with seizure at symptom onset is difficult to differentiate clinically from Todd's paralysis. The use of advanced imaging such as cerebral CT and MRI with angiography is recommended. This is a review of the current knowledge on pathogenesis, clinical presentation and differential diagnoses, and we propose an investigation plan for patients presenting with symptoms of Todd's paralysis.
托德麻痹是一种临床病症，表现为癫痫发作后出现急性局灶性神经功能缺损。它在6% - 13%的癫痫发作后出现，症状可持续数分钟至36小时。症状发作时伴有癫痫发作的中风在临床上难以与托德麻痹相鉴别。建议使用先进的影像学检查，如脑部CT和磁共振血管造影成像。本文综述了目前关于其发病机制、临床表现和鉴别诊断的知识，并针对出现托德麻痹症状的患者提出了一项调查计划。
