托德麻痹的脑计算机断层扫描灌注模式：病例系列，揭示诊断挑战及临床意义
Cerebral computed tomography perfusion pattern in Todd's paralysis: A case series, unraveling diagnostic challenges and clinical implications.
作者信息
Al-Busaidi Salim, Sididqui Tahira H, Al-Ajmi Eiman, Al-Qassabi Ahmed
机构信息
Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Postal Code. 123, P.O Box 38, Al-Khod, Muscat, Sultanate of Oman.
Neurology Unit, Department of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Postal Code. 123, P.O Box 38, Al-Khod, Muscat, Sultanate of Oman.
出版信息
Radiol Case Rep. 2025 Aug 20;20(11):5638-5644. doi: 10.1016/j.radcr.2025.07.054. eCollection 2025 Nov.
Acute neurological deficits following seizures can be mistaken for an acute stroke. Computed Tomography Perfusion (CTP) reveals distinct patterns in acute ischemic stroke. This case series outlines CTP patterns in 4 patients with postictal neurological deficits (Todd's Paralysis) who were initially misdiagnosed with acute ischemic stroke. Two of the 4 cases displayed CTP patterns resembling ischemic stroke with a penumbra. Distinguishing between acute ischemic stroke and postictal Todd's paralysis based solely on CTP is challenging.
癫痫发作后的急性神经功能缺损可能会被误诊为急性中风。计算机断层扫描灌注成像（CTP）可显示急性缺血性中风的不同模式。本病例系列概述了4例发作后神经功能缺损（托德麻痹）患者的CTP模式，这些患者最初被误诊为急性缺血性中风。4例中有2例显示出类似伴有半暗带的缺血性中风的CTP模式。仅根据CTP区分急性缺血性中风和发作后的托德麻痹具有挑战性。
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