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Infantile Spasms (West Syndrome)
Symptoms
Infantile spasms is a rare type of seizure disorder that occurs in infants between the ages of 4 and 6 months. The seizures usually occur when the infant awakening or trying to fall asleep. The infant typically has brief periods of spasms of the neck, trunk or legs that last for a few seconds. Infants may have clusters of seizures with up to hundreds per a day, which can be a serious problem and cause long-term complications. Infants typically have normal development prior to onset of seizures.
Diagnosis
About three-fourths of infants with infantile spasms have underlying brain abnormalities. The physician will order a variety of tests, such as EEG, CT, and/or MRI brain imaging. The EEG will show hypsarrhythmia, which is a chaotic pattern between seizures. CT or MRI neuroimaging will test for signs of tuberous sclerosis, a brain infection or structural abnormality.
Treatment
In some infants, spasms will stop spontaneously without any treatment. But most will require anti-epileptic drugs such as Sabril® (vigabatrin), adrenocorticotropic hormone, or ACTH® (corticotrophin), or prednisone, to control the seizures. Infantile spasms caused by tuberous sclerosis respond well to Sabril®.
A ketogenic diet may also control or reduce seizures in some infants.
Drug information changes periodically. For the most updated information on drugs, visit www.drugs.com.
Last Update
July 2, 2012
July 2, 2012

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