Infantile spasms
- Treat urgently to improve developmental outcome
- ACTH/high-dose steroid is first-line for many infants
- Vigabatrin is first-line in tuberous sclerosis
- EEG response matters—not just visible spasm cessation
- Rapid reassessment if no early response
- Epilepsy-specialist management is essential
Use at a glance
- Treat urgently to improve developmental outcome
Treatment options
- ACTH/high-dose steroid is first-line for many infants
- Vigabatrin is first-line in tuberous sclerosis
Practical pearls
- EEG response matters—not just visible spasm cessation
Other practical pearls
- Epilepsy-specialist management is essential
Monitoring / follow-up
- Rapid reassessment if no early response
Self-check
- What response matters beyond visible spasm cessation?
EEG response. - What is first-line for many infants with infantile spasms?
ACTH/high-dose steroid.
Drugs used for this (2)
All clinical uses · Open Infantile spasms in the interactive console ↗