Korean J Thorac Cardiovasc Surg.
2005 Mar;38(3):237-240.
An Unusual Case of Todd's Paralysis Mimicking Large Cerebral Infarction after Open Heart Surgery
- Affiliations
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- 1Department of Thoracic & Cardiovascular Surgery, College of Medicine, Soonchunhyang University Hospital, Korea. yw2525@hosp.sch.ac.kr
- 2Department of Neurology, College of Medicine, Soonchunhyang University Hospital, Korea.
Abstract
- Improved operative, anesthetic, and cardiopulmonary bypass (CPB) techniques have significantly reduced postoperative complications; however, neurologic disorders remain a serious complication after open heart surgery. Possible explanations for neurologic complications are microembolism from CPB, decreased cerebral perfusion pressure due to intraoperative hypotension and unexpected metabolic changes. Amomg these, seizure has low incidence and Todd`s paralysis after open heart surgery is extremely rare. Todd's paralysis is a complication of a seizure due to neuronal exhaustion mimicking large cerebral infarction after open heart surgery.
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