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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

BARRAIL HELLMAN, Albert Rafael. Todd's paralysis: a differential diagnosis to always keep in mind. Rev. virtual Soc. Parag. Med. Int. [online]. 2023, vol.10, n.1, pp.113-117. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2023.10.01.113.

Todd's paralysis (TP) or postictal palsy is a phenomenon described for more than 100 years. The pathophysiology, however, remains obscure. Recently observed data suggest a higher incidence, probably as a consequence of the increase in publications about TP. In this work, a clinical case of a 39-year-old man with organic lesion in the left cerebral hemisphere is presented. He manifests weakness of the right hemi-body and aphasia. For the diagnosis, a careful analysis of the patient's clinical history was conducted, supported by an exhaustive review of the literature. The latter suggests that the phenomenon is underdiagnosed on a global scale.

Keywords : paralysis; seizures..

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