what is todds paralysis?
Todd's paresis is also called postictal paralysis is focal weakness in a part or all of the body after a seizure. Generally it occurs after an episode of Grand - Mal epilepsy This weakness typically affects appendages and is localized to either the left or right side of the body. It usually subsides completely within 48 hours. Todd's paresis may also affect speech, eye position (gaze), or vision. Patient 'attendants- need to be assured that it is a temporary paralysis and will recover with in 72,hours
Todd paresis is a syndrome associated with weakness or paralysis of part or all of the body as soon as the ictal discharge (seizure) has ended. It most commonly affects one limb or one half of the body but can have a wide range of presentations. Either neurons can not transmit the conduction or post schedule brain does not have immediate auto start conduction to flow to body parts..
Todd's palsy is local paralysis following seizure disorder. Usually the limb which convulsed most goes for post ictal Todd's palsy. This is because of exhaustion of neurons of that part of brain involved in seizure. Usually recovers after 24 hours. It can involve the limbs , eye ball etc . DD for seizures due to SOL brain which can cause both fits and paralysis
Todd's paralysis is a neurological condition experienced by individuals with epilepsy, in which a seizure is followed by a brief period of temporary paralysis. The paralysis may be partial or complete but usually occurs on just one side of the body.
Todds paralysis is old description We used to see in syphilis pts tabes dorsalis as anterior horn cell s were affected
Cases that would interest you
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21-year-old married female one son and one-year-old. Present it to the emergency department with loss of consciousness and she describes as she felt vibrating in the bathroom. She does not remember anything after that. There was mausea before and after loss of consciousness. First ever episode EEG done 3 days back was done and it same similar report as of today.Neurologist suggest starting medication based on this report. Kindly give your opinion. Patient is hesitant on starting the medication
Dr. Farwah1 Like8 Answers - Login to View the image
12 YEARS OLD CHILD CAME WITH HISTORY OF SEIZURE , NOT WELL EXPLAINED BY ATTENDANTS BUT WHAT I CAUGHT, NATURE WAS GENERALISED TONIC NOT CLONIC WITH UPROLLING OF EYEBALLS , SIMILAR EPISODE IN PAST TWO TIMES, EVER TIME NOT EXCEEDING FIVE MINUTES NO HISTORY OF EPILEPSY IN FAMILY NO FEVER NO FOCAL NEUROLOGICAL DEFICIT ON EXAMINATION NO HISTORY OF CONSTIPATION DEVELOPMENT HISTORY NAD PERINATAL HISTORY NAD OPHTHALMOLOGIST OPINION NAD FUNDUS EEG NAD MRI BRAIN ATTACHED PVL ? HIE I HAD TALKED TO RADIOLOGIST I WAS KEEN TO SEARCH METABOLIC CAUSE OF SUCH FINDINGS OR WHITE MATTER DISEASE BECAUSE MOTHER WAS NOT GIVING HISTORY OF PERINATAL ASSAULT BUT RADIOLOGIST SAID BASAL GANGLIA INVOLVEMENT IS MUCH MORE IN KRABEE LIKE DISEASES HOW TO FURTHER APPROACH,SHOULD WE START ANTIEPILEPTIC TSH PTH REPORTS AWAITING ATTACHED MY PRESCRIPTION TOO@Dr. Manish Verma @Dr. Minol Amin @Dr. Sree Harsha @Dr. Brahmananda Merugu @Dr. Saumya Mittal @Dr. Mohd Izhar Jaweed @Dr. Ahemad Karim
Dr. Ashok Pareek2 Likes16 Answers - Login to View the image
SYPHILIS. Syphilis is caused by a spirochete named TREPONEMA PALLIDUM. SYMPTOMS. PRIMARY SYPHILIS. *10-90days post infection. *Painless ,genital ulcer on cervix /penis called CHANCRE. *Inguinal lymphadenopathy. SECONDARY SYPHILIS. *Occurs within the first 2 years of infection. *Generalized polymorphic rash affecting the palms and soles. *Generalized lymphadenopathy. *Genital condyloma lata. *Anterior uveitis. TERTIARY SYPHILIS. *Presents in up to 40 %of people infected for at least 2 yrs ,but may take 40+yrs To develop. *Neurosyphilis Tabes dorsalis and dementia. *Cardiovascular syphilis.affects aortic root. *Gummata -inflammatory plaques or nodules.q DIAGNOSIS. VDRL / RPR test. Primary lesion smear may show spirochetes on dark field microscopy. TPHA test Treponema pallidum hemagglutinin assay. TREATMENT. EARLY LATENT PHASE. Benzathine penicillin G 2.4 million units IM ×1 dose. LATE LATENT PHASE. Benzathine penicillin G 2.4 million units IM×3 doses given at weekly intervals.. PRIMARY SYPHILIS. Benzathine penicillin G 2.4 million units IM × 1 dose. SECONDARY SYPHILIS. Benzathine penicillin G 2.4 million units IM×1 dose TERTIARY SYPHILIS. Benzathine penicillin G 2.4 million units IM ×3 doses given at weekly intervals. NEUROSYPHILIS. Aqueous crystalline penicillin G 3-4 million units // IV // 4 hours amounting to 24 million units/day for 10-14 days. Alternative regimen for penicillin sensitive patients and non-pregnant patients. Doxycycline 100 mg /orally / bd / 30 days. Or Tetracycline 500 mg /orally /4 times a day / 30 days. Alternative regimen for penicillin sensitive and pregnant patients. Erythromycin 500 mg /orally /4 times a day /30 days. CHANCRES usually begin as s SOLITARY , RAISED,FIRM,RED PAPULES which erode into the TYPICAL,PAINLESS,INDURATED,CLEAN BASED ULCER WITH SLIGHTLY ELEVATED EDGES. THE RASH IN SECONDARY SYPHILIS IS NON PRURITIC AND BILATERALLY SYMMETRICAL. NON TENDER LYMPHADENOPATHY. .
Dr. Suvarchala Pratap59 Likes23 Answers - Login to View the image
5 yo girl child brought by mother with co sudden fall on ground with up rolling of eyes for abt 10 min with loss of conciousness for 30min . After regaining the conciousness not talking up to 30-40 min. Ho similar complaints 2 times previously but parents neglected to go hospital . No ho fever . Rbs 100 mg Management?
Dr. Kumar Kumar4 Likes23 Answers - Login to View the image
6yrs old male wgt 32 kg k/c/o epilepsy presented with c/o fever for last 10 days and mild reddish papules which later converted on reddish to purple rashes all over body tlc9000 platelets 4lac hb 10 gm widal neg crp positive marked itching present pt is on levetricetam and amitryptalline 75 mg hs amitryptalline is increased from 10 mg bd to 75 mg is 1week prior to to this onset are these rashes due to any drug reaction or due to any systemic disease now pt on tab dexa tab lczsyp dolo 250mg sos
Dr. Satinder Pal1 Like18 Answers
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