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A conundrum of West syndrome, behavioural problems and parental expressed emotions: a case report

Yogender Kumar Malik1, Nidhi Chauhan2, Akhilesh Sharma3

  • 1Psychiatry, Institute of Mental Health, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.

General Psychiatry
|September 11, 2020
PubMed

Insights

West syndrome, a common infant epilepsy, presents challenges in intervention and understanding its genetic cause. Early screening and intervention are crucial for optimal outcomes in affected children.

Area of Science:

  • Pediatric Neurology
  • Epileptology
  • Developmental Neuroscience

Background:

  • West syndrome is the most frequent epileptic encephalopathy in infancy.
  • It is characterized by infantile spasms, hypsarrhythmia on EEG, and developmental delay.
  • The exact genetic underpinnings and optimal management strategies for West syndrome remain incompletely understood.

Observation:

  • This case report details the management of a 4.5-year-old boy diagnosed with West syndrome.
  • The patient presented with significant behavioral issues and associated parental emotional distress.
  • The discussion focuses on the clinical approach to managing this complex case.

Findings:

  • The case highlights the multifaceted challenges in managing West syndrome beyond seizures, including behavioral comorbidities.
  • Addressing parental emotions is an integral part of comprehensive care for infants with West syndrome.
  • Early diagnosis and tailored intervention strategies are paramount for improving neurodevelopmental trajectories.

Implications:

  • This case underscores the need for a holistic approach to West syndrome management, encompassing neurological, developmental, and psychosocial aspects.
  • Further research into the genetic etiology and refined treatment protocols for West syndrome is warranted.
  • Improved screening and early intervention models can enhance long-term outcomes for children with West syndrome and their families.

Keywords:
behavioural symptomsneurodevelopmental disorders

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