Infantile spasms

G B Bobele1, J B Bodensteiner

  • 1Division of Pediatric Neurology, University of Oklahoma College of Medicine, Oklahoma City.

Neurologic Clinics
|August 1, 1990
PubMed

Insights

Infantile spasms are a serious infant seizure disorder. Early treatment with ACTH can control seizures in most infants, but physicians must monitor for side effects.

Area of Science:

  • Pediatrics
  • Neurology
  • Developmental Neuroscience

Background:

  • Infantile spasms represent a significant seizure disorder in infants.
  • The condition has varied causes, often linked to central nervous system disturbances during critical developmental periods.

Purpose of the Study:

  • To summarize the understanding of infantile spasms, including their etiology, prognosis, and treatment.
  • To highlight the role of adrenocorticotropic hormone (ACTH) in managing infantile spasms.

Main Methods:

  • Review of existing literature on infantile spasms.
  • Analysis of the efficacy and side effect profile of ACTH therapy.

Main Results:

  • Prognosis for intellectual and neurological development is closely tied to the underlying cause of the spasms.
  • Adrenocorticotropic hormone (ACTH) treatment can achieve seizure control in a majority of affected infants.

Conclusions:

  • Early and appropriate ACTH treatment is a key strategy for managing infantile spasms.
  • Physicians must be vigilant in anticipating and managing potential side effects associated with ACTH therapy.

Related Concept Videos

Classification of Skeletal Muscle Relaxants01:28

Classification of Skeletal Muscle Relaxants

Skeletal muscle relaxants are a group of drugs that can reduce muscle stiffness and induce temporary paralysis to relieve pain. These agents can act centrally to reduce muscle tone or spasms in painful conditions such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or spinal injuries; they are called antispasmodics or spasmolytics.
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Spasmolytic Agents: Chemical Classification01:29

Spasmolytic Agents: Chemical Classification

Spasmolytic agents are drugs used to alleviate muscle spasms and spasticity. They can be categorized into different chemical groups based on their mechanisms of action. Centrally acting spasmolytics primarily affect the spinal cord, while others directly target skeletal muscle cells.
A major class of centrally acting spasmolytics is the α2-agonist, such as tizanidine. These drugs bind to α2-adrenoceptors, inhibiting the release of the excitatory neurotransmitter glutamate. They also promote...
Somatic Spinal Reflexes01:22

Somatic Spinal Reflexes

Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Tetanus01:29

Tetanus

Tetanus is a life-threatening neurological disorder characterized by persistent muscle contractions and spastic paralysis. It is caused by Clostridium tetani, a motile, Gram-positive, rod-shaped, obligate anaerobe. These bacteria produce terminal endospores, giving them a distinctive “lollipop” or “tennis-racket” appearance. They thrive in anaerobic environments, such as those found in deep puncture wounds.Once introduced into the body, the spores germinate into vegetative cells. These cells...
Early Reflexes During Infancy01:26

Early Reflexes During Infancy

Early reflexes are automatic, involuntary responses to specific stimuli and provide information about neurological development during infancy. Some reflexes are present at birth or appear soon afterward. Known as primitive reflexes, they support early survival and adaptation.Primitive ReflexesPrimitive reflexes help newborns respond to their environment before voluntary motor control develops. The rooting reflex causes an infant to turn toward stimulation near the mouth, helping the infant...