The Truth About Todd

When someone has an epileptic seizure it naturally draws the attention/worry of any onlookers. After the seizure is over, the post-ictal phase typically involves heightened emotions, exhaustion, and confusion. In some cases, however, a seizure may be followed by a rare condition- occurring in approximately 13% of individuals with epilepsy- called Todd’s Paralysis. This involves a period of temporary paralysis on (typically) one side of the body and may last anywhere from 30 minutes, to 15 – 36 hours. The symptoms of this condition mimic a stroke, including slurred speech, visual disturbances, weakness on one side, and altered mental status. It is important to have your neurologist conduct tests such as an MRI and EEG, to rule out the possibility of stroke. Although there is no known cause or treatment for Todd’s paralysis, effective epilepsy management and seizure reduction strategies may help reduce its likelihood. Understanding potential post-seizure complications such as Todd’s paralysis is essential and thorough medical evaluation is critical. When symptoms occur, proper knowledge can help patients and caregivers respond appropriately and seek medical care.