What are the clinical manifestations and dangers of infantile spasms

  This syndrome, also known as west syndrome, is a kind of epilepsy specific to infancy, with an early age of onset, a specific form of spasticity, and 90% associated with significant intellectual and physical developmental impairment. Encephalitis, birth injury, and traumatic brain injury are common causes, with more males than females.  1, infantile spasms have the following four clinical manifestations (1) lightning-like spasms: very brief in duration and can only be detected by gazing at the affected child during the seizure; (2) bowing-like spasms: sudden onset of brief generalized muscle spasms with neck, trunk and legs bent and arms stretched sharply forward and outward; (3) atypical seizure forms: with one or more of the following symptoms: head rotated to one side, one limb twitching, (3) atypical seizures: one or more of the following symptoms: head rotating to one side, one limb jerking, head tilting back, leg extension, eye rolling upward, involuntary laughing, red face, white face, sleepiness after seizure, etc.; (4) nodding-like spasms: muscle spasms are mainly confined to the head and neck, nodding-like seizures occur, nodding very suddenly during seizures, some patients are single movements, some patients continuously point down, some children often have bruises on the forehead and face.  2.What are the dangers of infantile spasms?  When the child grows to a few months, if there is a nodding and bending-like cramps, this situation may be infantile spasms.  Infantile spasms are actually a special type of epilepsy during infancy. It is most common in infants 3 to 7 months of age, and its cause may be related to birth injuries, neonatal asphyxia, viral encephalitis, intrauterine infections, congenital malformations of brain development, and certain metabolic diseases.  In addition to generalized cramps, infantile spasms can also cause mental retardation in children. Once diagnosed, it should be treated immediately. The earlier treatment is initiated, the less severe the brain damage is likely to be. The main drugs currently used to treat infantile spasms are nitroprusside and hormones, which are more effective when used in combination. The medication should be given to the child consistently and regularly to maintain the necessary effective blood levels.  In order to prevent recurrence of infantile spasms and transformation into grand mal seizures or psychomotor seizures, the dose of medication should not be reduced even after the seizures have completely stopped, but should continue to be administered for 2 to 4 years, and then be carefully and gradually reduced until the medication is discontinued under the guidance of a physician. In addition, parents should pay special attention to the fact that when the child starts taking the medication, he/she should go to the hospital every 2 to 3 weeks for check-ups and then every 3 to 6 months for re-check-ups. At the same time, they should pay close attention to the toxic manifestations of the drug and take their children to the hospital regularly to check liver and kidney function and blood routine, and take further measures in time once abnormalities are found.