A Rare Case Presenting With Acute Stroke-Like Clinic: Todd’s Paralysis in the Setting of Frontal Dural-Based Tumor

Abstract

Herein, I present an 86-year-old male patient presenting with stroke-like symptoms in which diffusion-restricted lesion in diffusion weighted imaging (DWI) was firstly evaluated as ischemic stroke. However, the lesion was found to be atypical for ischemic stroke after meticulous evaluation of the DWI. Detailed neuroimaging studies and re-evaluation of the clinic led to the proper diagnosis of Todd’s paralysis in the setting of dural-based tumor. Via the presentation of this case and literature data, I draw attention to the importance of correct interpretation of DWI for proper diagnosis. I also remark the importance of multimodal evaluation of the patients before administering specific, but potentially harmful treatments such as thrombolytic drugs.




J Neurol Res. 2018;8(3):36-38
doi: https://doi.org/10.14740/jnr498