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what happens if infantile spasms are left untreated

by Mozelle Krajcik PhD Published 3 years ago Updated 2 years ago

Left untreated, infantile spasms can lead to serious outcomes, including an estimated infant mortality rate of between 5% and 6%. The most significant concern, however, is that infantile spasms are associated with autism and intellectual deficits that permanently affect quality of life. Click to see full answer.

Left untreated, infantile spasms can lead to serious outcomes, including an estimated infant mortality rate of between 5% and 6%. The most significant concern, however, is that infantile spasms are associated with autism and intellectual deficits that permanently affect quality of life.

Full Answer

What happens if the infantile spasms stop?

What happens if infantile spasms are left untreated? Left untreated , infantile spasms can lead to serious outcomes, including an estimated infant mortality rate of between 5% and 6%. The most significant concern, however, is that infantile spasms are associated with autism and intellectual deficits that permanently affect quality of life.

Does hypsarrhythmia suggest infantile spasms in children?

Apr 25, 2022 · An epileptic spasm is a specific type of seizure seen in an epilepsy syndrome of infancy and childhood often called West Syndrome. These are more commonly called infantile spasms (IS) since they are seen most often in the first year of life. West Syndrome/IS is characterized by epileptic spasms, developmental problems, and a specific brain wave ...

What is the difference between infantile spasms and seizures?

Jan 25, 2018 · Failure to Diagnose and Treat Infantile Spasms Can Cause Developmental Delays, Brain Damage and Autism in Infants. Infantile spasms are rare. They usually occur in infants below the age of two. They can be easily missed. They can be misdiagnosed by physicians who have not familiarized themselves with the disorder.

What are the treatments for infantile spasms?

Nov 30, 2020 · Soon after the spasms begin, parents may notice a number of changes in their baby: Loss of developmental milestones previously learned (e.g., rolling over, sitting, crawling, babbling) . Loss of social interactions and smiles. Increased fussiness or silence.

What happens if you don't treat infantile spasms?

If not treated, the disorder can permanently harm development. The main treatments include hormonal therapy and vigabatrin, an anti-seizure medicine. Infantile spasms may occur in children without prior medical problems. However, most children get infantile spasms after the diagnosis of another brain disorder.

Do infantile spasms cause brain damage?

Outlook for this condition. Infantile spasms is a complex and rare disorder that can have very serious consequences. It can lead to death in some babies, and cause intellectual disabilities and developmental problems in others. Even once the seizures are gone, the damaging brain effects can remain.

Can a baby with infantile spasms live a normal life?

An etiologic diagnosis is very important because it can lead to initiation of a specific therapy that may markedly improve the long-term developmental outcome. In fact, some children with infantile spasms may ultimately lead normal lives, but only if they are diagnosed and treated correctly.

Can babies grow out of infantile spasms?

Infantile spasms usually stop by age five, but may be replaced by other seizure types. Many underlying disorders, such as birth injury, metabolic disorders, and genetic disorders can give rise to IS, making it important to identify the underlying cause. In some children, no cause can be found.

Do infantile spasms cause mental retardation?

Infantile spasms (IS) is "one of the catastrophic childhood epilepsies" due to the difficulty of controlling seizures and the association with mental retardation. Early diagnosis with a careful diagnostic evaluation and proper therapy can obtain a normal development or a much improved situation in some cases [4].Feb 8, 2010

Is infantile spasm curable?

Many children with infantile spasms develop other kinds of epilepsy. (Watch examples of infantile spasms.) “Some of these children can be cured, but successful treatment often depends on prompt diagnosis,” said Hussain.Dec 4, 2016

Is infantile spasms genetic?

Infantile spasms (IS) is a developmental and epileptic encephalopathy with heterogeneous etiologies including many genetic causes. Genetic studies have identified pathogenic variants in over 30 genes as causes of IS.

Are infantile spasms painful?

They may have many series of spasms per day. This type of seizure is usually only seen in young children. After a spasm, the baby may cry or laugh. The spasms do not cause pain, but the baby may cry because the quick jerking movement surprises them.Nov 19, 2013

Do babies with infantile spasms sleep more?

It is common for babies who have infantile spasms to become irritable and to go off their feeds. Their sleep pattern also changes in that they may sleep more during the day and less during the night.

Are infantile spasms serious?

Up to 50% of children with infantile spasms have long-term developmental and neurological issues. Even if the spasms stop, many children develop other kinds of seizures and epilepsy. If diagnosis and treatment are prompt and effective, the overall outlook is better.Mar 9, 2022

How do you stop infantile spasms?

Infantile spasms usually are treated with seizure medicines or steroids. If medicines don't control the spasms, a special diet, such as the ketogenic diet, might help. Sometimes, doctors may recommend surgery.

Do infantile spasms happen every day?

Very occasionally, only one spasm will occur at a time. In between clusters of spasms many hours without spasms can occur. Occasionally more than a day will pass without a cluster of spasms. Clusters of spasms often occur after waking from sleep, whatever time of the day.Feb 15, 2006

When do infantile spasms occur?

It typically begins between 2-12 months of age and peaks between 4-8 months of age.

What causes infantile spasms?

There are many causes of infantile spasms; almost any brain abnormality or brain injury can cause them. More than 50 genetic/metabolic diseases are associated with infantile spasms, and many patients have other disorders that cause developmental delays (e.g., cerebral palsy, Down syndrome, tuberous sclerosis, etc.) prior to the onset of the spasms. ...

How do you know if your baby has spasms?

Soon after the spasms begin, parents may notice a number of changes in their baby: 1 Loss of developmental milestones​ previously learned (e.g., rolling over, sitting, crawling, babbling)​​ 2 Loss of social interactions and smiles 3 Increased fussiness or silence

What is the best treatment for infantile spasms?

The American Academy of Neurology and the Child Neurology Society recommend adrenocorticotropic hormone (ACTH) as the first line of therapy for infantile spasms. This medication is given as a shot. The first doses are given in the hospital so your child can be closely watched for any side effects.

Who is Kelly Cervantes' daughter?

Above, epilepsy advocate Kelly Cervantes with daughter Adelaide , son Jacks​​on and husband Miguel Cervantes. Adelaide was diagnosed with infantile spasms when their family moved to Chicago where Miguel starred in "Hamilton: An American Musical.".

Why is watching a baby's movements important?

​​​​​​​​Watching your baby's every movement typically brings parents so much joy. But when a baby shows signs and symptoms of a serious neurological condition such as infantile spasms (IS), that joy can quickly turn into concern.

When do infantile spasms stop?

Infantile spasms usually stop by age five, but may be replaced by other seizure types. Many underlying disorders, such as birth injury, metabolic disorders, and genetic disorders can give rise to IS, making it important to identify the underlying cause. In some children, no cause can be found.

What is epileptic spasm?

An epileptic spasm is a specific type of seizure seen in an epilepsy syndrome of infancy and childhood often called West Syndrome. These are more commonly called infantile spasms (IS) since they are seen most often in the first year of life. West Syndrome/IS is characterized by epileptic spasms, developmental problems, and a specific brain wave pattern on electroencephalography (EEG) testing called hypsarrhythmia. The onset is usually in the first year of life, typically between 4-8 months. The seizures often look like a sudden bending forward of the body with stiffening of the arms and legs lasting for 1-2 seconds; some children arch their backs as they extend their arms and legs. Spasms tend to occur upon awakening and often occur in multiple clusters and hundreds of seizures per day. Most children, but not all, will have EEG readings of hypsarrhythmia. Infantile spasms usually stop by age five, but may be replaced by other seizure types. Many underlying disorders, such as birth injury, metabolic disorders, and genetic disorders can give rise to IS, making it important to identify the underlying cause. In some children, no cause can be found.

What is West syndrome?

West Syndrome/IS is characterized by epileptic spasms, developmental problems, and a specific brain wave pattern on electroencephalography (EEG) testing called hypsarrhythmia.

How long does it take for a seizure to start?

The onset is usually in the first year of life, typically between 4-8 months. The seizures often look like a sudden bending forward of the body with stiffening of the arms and legs lasting for 1-2 seconds; some children arch their backs as they extend their arms and legs.

What is the prognosis for children with IS?

The prognosis for children with IS is largely dependent on the underlying cause. The intellectual prognosis for children with IS is generally poor because many babies with IS have neurological impairment prior to the onset of spasms. Children who have rapid initiation of treatment, normal development prior to infantile spasms, and no identifiable cause may do well. IS usually resolves by mid-childhood, but more than half of the children with IS will develop other types of seizures such as Lennox-Gastaut syndrome, an epileptic disorder of later childhood. In addition, children with IS are at a higher risk for autism. Shorter duration between the onset of IS and initiation of standard treatment appears to lead to an improved outcome; therefore early recognition of the seizures and early treatment are essential.

Can you face neurologic disorder alone?

You don’t need to face a neurologic disorder alone. Reach out to receive emotional support and practical help from a caregiver who has lived through a similar experience and is trained to provide support.

What is NINDS research?

The NINDS supports broad and varied programs of research on epilepsy and other seizure disorders aimed at discovering new ways to prevent, diagnose, and treat these disorders. Studies looking at the cellular, mlolecular, and genetic bases of epilepsy may lead to new therapies. In one project, scientists are investigating whether insulin growth factor-1, which has been shown to have neuroprotective aspects in some studies, can reduce the serious side effects of vigabatrin in order to develop a new combination therapy for infantile epilepsy.Epilepsy

How to diagnose infantile spasms?

Infantile spasms are diagnosed by a pediatric neurologist (a doctor who specializes in brain, spine and nervous system problems). Testing may include: 1 blood tests and urine tests (to look for infections or illnesses) 2 EEG, or electroencephalography (to see brain waves/electrical activity in the brain). A particular EEG finding called "hypsarrhythmia" often confirms the diagnosis, but not every child with infantile spasms will have this. 3 VEEG, or video electroencephalography (EEG with video recording) 4 CAT scan, MRI, and PET/MRI scans to look inside the brain

How long do spasms last?

Spasms start suddenly and last a second or two. They often come one after another in a cluster that lasts several minutes. They happen most often just after waking. They're often mistaken for colic, reflux, or hiccupping. A baby having a spasm might have:

What is the best test for infantile spasms?

Testing may include: EEG, or electroencephalography (to see brain waves/electrical activity in the brain).

How do seizures affect a baby?

The seizures (or spasms) make muscles in the arms and legs stiff and bend the baby's head forward. They look very much like a startle. Babies also might have slowed development or loss of skills (like babbling, sitting, or crawling). Although the spasms usually go away by the time a child is 4 years old, many babies with IS will have other kinds ...

1.Infantile Spasms: Symptoms, Treatment, Outlook, and More

Url:https://www.healthline.com/health/infantile-spasms

5 hours ago What happens if infantile spasms are left untreated? Left untreated , infantile spasms can lead to serious outcomes, including an estimated infant mortality rate of between 5% and 6%. The most significant concern, however, is that infantile spasms are associated with autism and intellectual deficits that permanently affect quality of life.

2.Infantile Spasms - National Institute of Neurological …

Url:https://www.ninds.nih.gov/health-information/disorders/infantile-spasms

24 hours ago Apr 25, 2022 · An epileptic spasm is a specific type of seizure seen in an epilepsy syndrome of infancy and childhood often called West Syndrome. These are more commonly called infantile spasms (IS) since they are seen most often in the first year of life. West Syndrome/IS is characterized by epileptic spasms, developmental problems, and a specific brain wave ...

3.Infantile Spasms: Symptoms, Causes & Treatment

Url:https://www.healthychildren.org/English/health-issues/conditions/seizures/Pages/Infantile-Spasms-What-Parents-Need-to-Know.aspx

24 hours ago Jan 25, 2018 · Failure to Diagnose and Treat Infantile Spasms Can Cause Developmental Delays, Brain Damage and Autism in Infants. Infantile spasms are rare. They usually occur in infants below the age of two. They can be easily missed. They can be misdiagnosed by physicians who have not familiarized themselves with the disorder.

4.Infantile Spasms - childrenshospital.org

Url:https://www.childrenshospital.org/conditions/infantile-spasms

34 hours ago Nov 30, 2020 · Soon after the spasms begin, parents may notice a number of changes in their baby: Loss of developmental milestones previously learned (e.g., rolling over, sitting, crawling, babbling) . Loss of social interactions and smiles. Increased fussiness or silence.

5.Infantile Spasms - Child Neurology Foundation

Url:https://www.childneurologyfoundation.org/disorder/infantile-spasms/

24 hours ago Later onset spasms may also occur but are rare. Infantile spasms require specific medication to stop the spasms. Children with Infantile spasms are at risk for development of difficult-to-control epilepsy, intellectual disability, and autism. Early and effective treatment is important in improving the prognosis for these infants, as early responders have better long-term epilepsy …

6.Infantile Spasms - Johns Hopkins All Children's Hospital

Url:https://www.hopkinsallchildrens.org/patients-families/health-library/healthdocnew/infantile-spasms

32 hours ago Diagnosing and treating infantile spasms is an urgent matter. If not treated, the disorder can permanently harm development. The main treatments include hormonal therapy and vigabatrin, an anti-seizure medicine. Infantile spasms may occur in children without prior medical problems.

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