Infantile spasms: outcome and prognostic factors of cryptogenic and symptomatic groups.

Abstract:

:We reviewed the outcome (developmental, neurologic, and seizure) and prognostic factors of 57 cases of infantile spasms (17 cryptogenic, 40 symptomatic). The mean developmental score of the cryptogenic group (71.2 +/- 24.2) was significantly higher than that of the symptomatic group (48.4 +/- 24.5), as assessed by the Griffith Mental Developmental Scale. A resultant neurologic deficit was present in 23.5% of the cryptogenic group and 75.0% of the symptomatic group. Coexistence of other forms of seizures was observed in 35.3% of the cryptogenic group and 57.5% of the symptomatic group. Outcome was affected by the coexistence of other seizures, presence of neurologic deficit, time lag in initiation of treatment (cognitive outcome only), poor response to ACTH treatment, and persistent EEG abnormality. Character of spasms and time lag in initiation of treatment (seizure outcome only) did not have any significant effect on outcome.

journal_name

Neurology

journal_title

Neurology

authors

Koo B,Hwang PA,Logan WJ

doi

10.1212/wnl.43.11.2322

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

2322-7

issue

11

eissn

0028-3878

issn

1526-632X

journal_volume

43

pub_type

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