Ictal paralysis mimicking Todd's phenomenon.

Todd’s paralysis (epileptic hemiplegia) was defined as a transient paralysis that followed unilateral or bilateral motor seizures.1 It has been considered as a postictal deficit.2 It has a lateralizing value to the contralateral hemisphere implying that the frontal area was involved during the seizure, but was not necessarily the origin of the seizure. The mechanism of Todd’s paralysis is not well understood. Metabolic exhaustion of the focus area or hyperpolarization after the seizure have been proposed as the cause.1 EEG studies during Todd’s paralysis generally showed normal activity or slow waves.2 We present a patient with postconvulsive paralysis. A right-handed 23-year-old woman had partial epilepsy and motor seizures since the age of 2. Development …