West Syndrome in an Infant with Complete Corpus Callosal Agenesis

West syndrome is a severe form of epilepsy with onset in infancy and early childhood. The characteristic triad described includes infantile spasms (IS), an abnormal electroencephalogram (EEG) pattern referred to as hypsarrhythmia, and developmental regression. It comprises 2% of childhood epilepsies...

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Main Authors: S. Sheetal, Nikhil Gladson, Rakesh John, Yamuna P. Kurup
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Archives of Medicine and Health Sciences
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Online Access:https://journals.lww.com/10.4103/amhs.amhs_105_23
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author S. Sheetal
Nikhil Gladson
Rakesh John
Yamuna P. Kurup
author_facet S. Sheetal
Nikhil Gladson
Rakesh John
Yamuna P. Kurup
author_sort S. Sheetal
collection DOAJ
description West syndrome is a severe form of epilepsy with onset in infancy and early childhood. The characteristic triad described includes infantile spasms (IS), an abnormal electroencephalogram (EEG) pattern referred to as hypsarrhythmia, and developmental regression. It comprises 2% of childhood epilepsies. Etiologically, West syndrome can be classified into symptomatic with known etiology and cryptogenic with unknown etiology. Hypsarrhythmia is defined as chaotic, asynchronous, disorganized slow background activity with high-voltage spike activity. Burst-suppression pattern is a rarely described pattern of modified hypsarrhythmia, which denotes severe disease. Hereby, we describe the case of a female infant who presented with IS; EEG showed a modified hypsarrhythmia pattern in the form of burst suppression, and magnetic resonance imaging brain showed complete corpus callosal agenesis. She was initiated on injection of adrenocorticotropic hormone and showed marked improvement in epileptic spasms.
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spelling doaj-art-4722dddcacf841d1966e39f5d49dfed72025-01-23T08:51:59ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482321-60852024-01-0112112012210.4103/amhs.amhs_105_23West Syndrome in an Infant with Complete Corpus Callosal AgenesisS. SheetalNikhil GladsonRakesh JohnYamuna P. KurupWest syndrome is a severe form of epilepsy with onset in infancy and early childhood. The characteristic triad described includes infantile spasms (IS), an abnormal electroencephalogram (EEG) pattern referred to as hypsarrhythmia, and developmental regression. It comprises 2% of childhood epilepsies. Etiologically, West syndrome can be classified into symptomatic with known etiology and cryptogenic with unknown etiology. Hypsarrhythmia is defined as chaotic, asynchronous, disorganized slow background activity with high-voltage spike activity. Burst-suppression pattern is a rarely described pattern of modified hypsarrhythmia, which denotes severe disease. Hereby, we describe the case of a female infant who presented with IS; EEG showed a modified hypsarrhythmia pattern in the form of burst suppression, and magnetic resonance imaging brain showed complete corpus callosal agenesis. She was initiated on injection of adrenocorticotropic hormone and showed marked improvement in epileptic spasms.https://journals.lww.com/10.4103/amhs.amhs_105_23adrenocorticotropic hormoneburst suppression patterncorpus callosal agenesismodified hypsarrhythmiawest syndrome
spellingShingle S. Sheetal
Nikhil Gladson
Rakesh John
Yamuna P. Kurup
West Syndrome in an Infant with Complete Corpus Callosal Agenesis
Archives of Medicine and Health Sciences
adrenocorticotropic hormone
burst suppression pattern
corpus callosal agenesis
modified hypsarrhythmia
west syndrome
title West Syndrome in an Infant with Complete Corpus Callosal Agenesis
title_full West Syndrome in an Infant with Complete Corpus Callosal Agenesis
title_fullStr West Syndrome in an Infant with Complete Corpus Callosal Agenesis
title_full_unstemmed West Syndrome in an Infant with Complete Corpus Callosal Agenesis
title_short West Syndrome in an Infant with Complete Corpus Callosal Agenesis
title_sort west syndrome in an infant with complete corpus callosal agenesis
topic adrenocorticotropic hormone
burst suppression pattern
corpus callosal agenesis
modified hypsarrhythmia
west syndrome
url https://journals.lww.com/10.4103/amhs.amhs_105_23
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AT yamunapkurup westsyndromeinaninfantwithcompletecorpuscallosalagenesis