Todd’s Paresis
Print Friendly, PDF & Email

almostadoctor app banner for android and iOSalmostadoctor iPhone, iPad and android appsalmostadoctor iOS appalmostadoctor android app

Overview

Todd’s paresis, (aka postictal paresis or postictal paralysis) is a temporary neurological disorder that presents with a focal neurological deficit after a seizure – for example – limb weakness.

As well as limb signs, it can also cause speech problems and visual or eye movement problems. It can last anywhere from a few seconds up to about 48 hours after a seizure. It typically affects a single limb. It resolves spontaneously.

It is important to take a careful history and thorough examination to rule out another cause – particularly stroke, or in the case of seizure with a head strike – intracranial bleed. CT scan and / or MRI of the brain may be indicated to rule out a more sinister cause.

It is most common after a focal seizure, but can present after any epileptic seizure.

There is no specific treatment. The condition resolves by itself with time, usually within 48 hours. Patients may require admission to hospital for a period of observation until symptoms have resolved.

Differentials

  • Stroke
  • Intracranial bleed
  • Functional neurological disorder

Related Articles

Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) currently works as a GP Registrar and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

Leave a Reply