Monday, August 18, 2008

Ictal

A patient presents to your clinic with moderate weakness of the left hand. It had a sudden onset and the patient is afraid he had a stroke. The history of present illness is significant for an episode earlier today of loss of consciousness. He says that his wife noted involuntary left hand movements at that time.

Within a few hours, the patient's weakness resolves.

Challenge: This condition was first described by a British physician in 1849. What is it?
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1 comment:

  1. CraigAugust 19, 2008 at 9:22 PM

    Ictal

    This is Todd’s paralysis or postictal paralysis, a transient neurologic deficit that lasts for hours after an epileptic seizure.

    Sources: UpToDate; Wikipedia.

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