Question
My 6-month-old baby cannot lift their head, can roll over, and has a normal appetite. There are no other abnormalities, but they sometimes shake. How is infantile spasms treated?
Answer
It is recommended to implement long-term video EEG monitoring to confirm the diagnosis. Once confirmed, drug therapy can be considered with medications such as corticosteroids, hormones, lamotrigine, topiramate, and valproate. A ketogenic diet may also be considered. Currently, there is a ketogenic diet product on the market that can substitute for the traditional ketogenic diet. If these treatments are ineffective, corpus callosotomy can be considered. This treatment is effective for severe pain in infants, especially for recurrent muscle tone disorders and recurrent tonic seizures. If convenient, you can come to the hospital for treatment.