Original

Postictal paralysis during videoeeg monitoring studies

E. Urrestarazu, J. Iriarte, M. Alegre, D. Lázaro, E. Schlumberger, J. Artieda, C. Viteri [REV NEUROL 2002;35:404-407] PMID: 12373669 DOI: https://doi.org/10.33588/rn.3505.2002319

OPEN ACCESS

Volumen 35 | Number 05 | Nº of views of the article 7.142 | Nº of PDF downloads 267 | Article publication date 01/09/2002

Download PDF Castellano Citation Search in PubMed

Share in:

Go to another issue

ABSTRACT

OBJECTIVE. To know the frequency of Todd’s paralysis during the videoEEG monitoring studies, to investigate in its pathophysiology, and to confirm its value to localise the epileptic focus.

PATIENTS AND METHODS We reviewed 114 monitoring studies, in 102 patients.

RESULTS Sixty patients had epileptic seizures. An obvious paresis was noted in four seizures of two patients (3 and 1, respectively). Both patients had frontal epilepsy. During the paralysis, in the first patient the EEG showed ictal discharges on the contralateral centrotemporal area. In the second patient, the EEG demonstrated slow waves in the contralateral frontal region. The ictal onset was contralateral to the paresis in all cases. No patient with pseudoseizures had paralysis.

CONCLUSIONS Postconvulsive paralysis are not frequent in videoEEG monitoring studies. However, if present it points out to a contralateral seizure onset. In our series it happened in patients with frontal seizures. The EEG may help to clarify if it correspond to a true postictal phenomenon or to a ictal paralysis. KeywordsTodd’s paralysis VideoEEG monitoring CategoriesNervios periféricos, unión neuromuscular y músculo Técnicas exploratorias

FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)

Acceso directo al último número

Último Podcast

Original

Postictal paralysis during video­eeg monitoring studies

Postictal paralysis during videoeeg monitoring studies