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Transient Hemiparesis (Todds Paralysis) After Electroconvulsive Therapy (ECT) in a Patient With Major Depressive Disorder

Liff, Jeremy M. MD*; Bryson, Ethan O. MD; Maloutas, Eleni MD; Garruto, Kimberly NP§; Pasculli, Rosa M. BA; Briggs, Mimi C. BA; Kellner, Charles H. MD

doi: 10.1097/YCT.0b013e31827e568c
Case Reports

Abstract: We report the case of a 50-year-old man who exhibited transient left hemiparesis (Todd’s paralysis) after electroconvulsive therapy, which completely resolved within 10 minutes. Subsequent neurological evaluation was unremarkable for discrete etiologies for this event, other than Todd’s paralysis. We review the literature of this phenomenon in association with electroconvulsive therapy.

From the Departments of *Neurology, †Anesthesiology, and ‡Psychiatry, Mount Sinai School of Medicine, New York, NY and §Department of Psychiatry, Mount Sinai Hospital, New York, NY.

Received for publication August 28, 2012; accepted November 15, 2012.

Reprints: Charles H. Kellner, MD, Department of Psychiatry, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York, NY 10029 (e-mail:

Support was provided solely from institutional and departmental sources.

Dr. Kellner receives grant support from the NIMH, honoraria from UpToDate and the Northshore-LIJ Health System, and royalties from Cambridge University Press.

*Jeremy M. Liff is now an attending neurologist at Hackensack University Medical Center. Hackensack, NJ.

© 2013 by Lippincott Williams & Wilkins