Stroke; a journal of cerebral circulation
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The presence of seizure at stroke onset is a contraindication for intravenous tissue plasminogen activator treatment. A significant proportion of these patients' deficits are not attributable to Todd's paralysis and could be attributable to reversible ischemia. Currently there are no established methods of differentiating Todd's paralysis from ischemic stroke/early seizure. We sought to determine whether computed tomographic angiography (CTA) can be helpful in differentiating the 2. ⋯ Seizure at stroke onset was relatively uncommon in a consecutive cohort of acute stroke patients. CTA was a useful modality in differentiating Todd's paralysis from early seizure and ischemia by detection of intracranial occlusion and may contribute to decision-making for thrombolysis.