Abstract：
:Infantile spasms (ISs) is a devastating form of an early infantile epileptic encephalopathy. The patterns of response of multiple regimens, and the difference in response rates for the cases who receive first-line therapies on time versus those who receive them after non-first-line therapies are unknown. We performed a study involving 314 ISs cases aiming to investigate the patterns of response of 11 regimens, and the difference in response rates for the cases received first-line therapies as first two regimens versus those who received other drugs prior to first-line options. As a result, the efficacy of each regimen was: the foremost two regimens; 36.99%, third; 10.27%, fourth; 6.16%, fifth; 5.48%, and from the sixth regimen onwards, each additional regimen added ≤ 2% probability of seizure freedom. There was a statistically significant difference in seizure freedom rates between cases received first-line therapies as first or second regimen versus those who received them later. Our study revealed for the first time that in ISs cases, seizure freedom is likely to be observed within the first five regimens, and an early administration of first-line therapies is superior to non-first-line options. These results will aid in management of ISs cases.
journal_name
Sci Repjournal_title
Scientific reportsauthors
Mao L,Kessi M,Peng P,He F,Zhang C,Yang L,Wu L,Yin F,Peng Jdoi
10.1038/s41598-020-68403-6subject
Has Abstractpub_date
2020-07-13 00:00:00pages
11509issue
1issn
2045-2322pii
10.1038/s41598-020-68403-6journal_volume
10pub_type
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