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Todd's Paresis in Acute Mild Head Trauma
Alan Cowley1, David Wright1, Thomas Breen2
1KSS Air Ambulance Foundation Trust, Marden, Kent, UK; South East Coast Ambulance Service NHS, Banstead, UK.
Air Medical Journal
|November 30, 2016
Summary
Todd
Area of Science:
- Neurology
- Trauma Care
Background:
- Todd's paresis is a rare neurological condition.
- It typically occurs after seizures, often associated with medical conditions or long-term brain injury.
- Traumatic induction of seizures leading to Todd's paresis is exceptionally uncommon.
Observation:
- A case of Todd's paresis following a traumatically induced seizure after head trauma from a golf club is presented.
- The patient was an adult male with an isolated facial injury and no prior seizure history.
Findings:
- The patient experienced complete neurologic recovery without evidence of cerebral pathology.
- Literature review indicates Todd's paresis is uncommon after acute trauma compared to medical or chronic brain injury contexts.
Implications:
- This case highlights the rare occurrence of Todd's paresis in a trauma setting.
- Increased awareness among prehospital clinicians is crucial for recognizing and managing this condition in trauma patients.
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