- Todd Paresis
- Focal onset Seizure, typically leading to Hemiparesis
- First described by Robert Bentley Todd in 1849
- Follows 13% of Seizures
- Focal Seizure precedes weakness
- Motor weakness (from mild to complete paralysis) in limb opposite the side of the Seizure
- Other neurologic presentations
- Extraocular Movement deficit (Gaze Palsy)
- Aphasia
- Sensory deficit
- Visual Field Deficit
- Bedside Glucose
- See Cerebrovascular Accident
- Cerebrovascular Accident
- Hemiplegic Migraine
- Hypoglycemia
- First Episode
- Evaluate as Cerebrovascular Accident
- Exception: Clear history of Focal Seizure preceding event and known history of Todd's Paralysis
- CT Head
- CT Angiogram Head and Neck
- Consider MRI Brain
- See Cerebrovascular Accident
- Known history of Todd's Paralysis may circumvent significant workup
- Residual neurologic deficits may last up to 24-36 hours (mean 15 hours)
- Mastriana, Pay and Taylor (2019) Todd Paresis, StatPearls, accessed 6/6/2019