Hanson P A, Chodos R
Neurology. 1978 Sep;28(9 Pt 1):920-3. doi: 10.1212/wnl.28.9.920.
In three patients hemiparesis was a manifestation of focal seizures. In all, there were electroencephalographic abnormalities and radionucleotide uptake in the contralateral hemisphere. Treatment of the seizures resulted in clearing of both paralysis and abnormal brain scan. These patients fit the diagnostic category described by Higier as a "paralytic equivalent of epilepsy without disturbance of consciousness in the form of status hemiparalyticus," and described by others as inhibitory seizures or partial seizures with subsequent hemigeneralization. The etiology of the paralysis and its relation to Todd paralysis are not clear, but it may result from excessive inhibitory discharge.
在3例患者中，偏瘫是局灶性癫痫发作的一种表现。总体而言，对侧半球存在脑电图异常和放射性核素摄取。癫痫发作的治疗使瘫痪和脑扫描异常均得到缓解。这些患者符合Higier所描述的诊断类别，即“无昏迷状态的偏瘫等效癫痫，表现为半身麻痹状态”，其他人则将其描述为抑制性癫痫发作或随后出现半身泛化的部分性癫痫发作。瘫痪的病因及其与托德麻痹的关系尚不清楚，但可能是由于过度抑制性放电所致。
