Lateralizing value of Todd's palsy in patients with epilepsy.

Kellinghaus, Christoph; Kotagal, Prakash · Neurology · 2004

retrospective_cohort · Level III

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Abstract

The authors retrospectively investigated the value of Todd's palsy (TP) in lateralizing the hemisphere of seizure onset in patients admitted for video-EEG monitoring in a tertiary epilepsy center. In 29 patients, a postictal hemiparesis was observed. TP always occurred contralateral to the epileptogenic hemisphere in 27 patients (93%). In the remaining two patients, the seizure onset could not be lateralized. In some patients, TP occurred after a seizure without focal motor features or secondary generalization.

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