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Todd Paralysis in Rolandic Epilepsy.
Pasquale Striano1, Maria Stella Vari1
1Pediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health University of Genoa, "G. Gaslini" Institute, Genova, Italy.
Pediatric Neurology Briefs
|March 3, 2016
Summary
Benign epilepsy of childhood with centrotemporal spikes (BECTS) can cause temporary limb weakness, known as Todd paralysis, after seizures. This study details the clinical and EEG characteristics of BECTS patients with this postictal phenomenon.
Area of Science:
- Neurology
- Pediatric Neurology
- Clinical Neurophysiology
Background:
- Benign epilepsy of childhood with centrotemporal spikes (BECTS) is a common childhood epilepsy syndrome.
- Postictal Todd paralysis is a transient neurological deficit occurring after a seizure.
Purpose of the Study:
- To describe the clinical and electroencephalogram (EEG) findings in pediatric patients with BECTS who experience postictal Todd paralysis.
- To better understand the presentation and characteristics of Todd paralysis in the context of BECTS.
Main Methods:
- Retrospective review of clinical data and EEG recordings.
- Analysis of seizure semiology, neurological examination findings, and EEG patterns in patients with BECTS and Todd paralysis.
Main Results:
- Patients with BECTS experiencing Todd paralysis showed specific seizure patterns and EEG abnormalities.
- The duration and severity of Todd paralysis varied among the affected children.
Conclusions:
- Todd paralysis is a recognized, albeit uncommon, complication of BECTS.
- Understanding these findings aids in the diagnosis and management of BECTS patients presenting with postictal deficits.
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