A 61-year-old man is brought to the emergency department after rhythmic clonic movements of the right arm and face lasting 90 seconds. After the event resolves, he is awake but cannot move his right arm for 20 minutes. Head CT shows no acute hemorrhage. Which of the following best explains his transient weakness?

  1. A)Psychogenic nonepileptic seizure
  2. B)Todd paralysisGABARITO
  3. C)Focal aware motor seizure
  4. D)Acute ischemic stroke
  5. E)Generalized tonic clonic seizure

Explicação

Transient focal weakness after a focal seizure is Todd paralysis. It reflects temporary postictal exhaustion of the involved cortex and resolves spontaneously, which helps distinguish it from an acute stroke. Ver explicação completa e trilha adaptativa →

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