Cerebral computed tomography perfusion pattern in Todd’s paralysis: A case series, unraveling diagnostic challenges and clinical implications
Abstract
Acute neurological deficits following seizures can be mistaken for an acute stroke. Computed Tomography Perfusion (CTP) reveals distinct patterns in acute ischemic stroke. This case series outlines CTP patterns in 4 patients with postictal neurological deficits (Todd’s Paralysis) who were initially misdiagnosed with acute ischemic stroke. Two of the 4 cases displayed CTP patterns resembling ischemic stroke with a penumbra. Distinguishing between acute ischemic stroke and postictal Todd’s paralysis based solely on CTP is challenging.
How strong is the evidence?
Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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