Case series demonstrating the value of computed tomography perfusion in differentiating ischemic strokes from seizures in patients with isolated aphasia

Serven, Victoria; Clemente, Jonathan D.; Asimos, Andrew W

doi:10.1002/emp2.12354

JACEP Open

2021

DOI: 10.1002/emp2.12354

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Case series demonstrating the value of computed tomography perfusion in differentiating ischemic strokes from seizures in patients with isolated aphasia

Victoria Serven

Jonathan D. Clemente

Andrew W Asimos

Abstract: By JACEP Open policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.

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How can we distinguish postictal Todd’s Paralysis from acute ischemic stroke in the prehospital and early hospital setting?

Blek

2022

Journal of Epileptology

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Summary Introduction Acute Ischemic Stroke (AIS) is a medical emergency with focal neurological deficits. Todd’s paralysis (TP) is defined as a transient loss of motor ability and weakness that lasts hours to days and typically occurs after a focal seizure. Given the high prevalence of stroke and the rising availability of reperfusion therapies, timely detection of eligible patients is critical. Pre- and early-hospital differential diagnosis of various conditions with comparable clinical presentations is still difficult. Aim This review discusses Todd’s post-epileptic paralysis, one of the most common stroke mimics (SM), in pre- and early-hospital settings. Discussion and Conclusions The review covers the most critical findings on the TP and its emergency care as a common stroke mimic. Because TP is an excluding diagnosis, the most severe and curable illnesses must be recognised. Since thrombolysis is safe in SM, delaying or withholding medication may be improper when the advantages of treating a stroke mimic outweigh the dangers of treating a stroke mimic.

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How can we distinguish postictal Todd’s Paralysis from acute ischemic stroke in the prehospital and early hospital setting?

Blek

2022

Journal of Epileptology

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Case series demonstrating the value of computed tomography perfusion in differentiating ischemic strokes from seizures in patients with isolated aphasia

Cited by 1 publication

References 10 publications

How can we distinguish postictal Todd’s Paralysis from acute ischemic stroke in the prehospital and early hospital setting?

How can we distinguish postictal Todd’s Paralysis from acute ischemic stroke in the prehospital and early hospital setting?

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