Parálisis de Todd: un diagnóstico diferencial a tener siempre presente

Abstract

Todd's paralysis (TP) or postictal palsy is a phenomenon described for more than 100 years. The pathophysiology, however, remains obscure. Recently observed data suggest a higher incidence, probably as a consequence of the increase in publications about TP. In this work, a clinical case of a 39-year-old man with organic lesion in the left cerebral hemisphere is presented. He manifests weakness of the right hemi-body and aphasia. For the diagnosis, a careful analysis of the patient's clinical history was conducted, supported by an exhaustive review of the literature. The latter suggests that the phenomenon is underdiagnosed on a global scale.