Question
The patient sometimes exhibits a continuous nodding behavior, with a slower frequency, occurring a few times a day or several times a day. There seems to be a delay in motor development; at twelve months old, they cannot stand independently but can walk with support and have good crawling abilities, even climbing onto the sofa. They are quick to react and can understand many words but can only produce a few syllables, such as ‘Dad’, ‘Mom’, ‘Gaga’, etc. It is suspected that this is a Sequelae left by prenatal intrauterine hypoxia.
Answer
Typical symptoms of infantile spasms include frequent and brief nodding movements, with trunk and arm flexion movements presenting a posture similar to an “embrace.” Each episode lasts for a few seconds and usually occurs in a series, with each series consisting of several to hundreds of episodes, and up to several tens of series per day. Children with infantile spasms syndrome may also experience symptoms such as regression in mental development, cerebral palsy, vision and hearing impairments, depending on the severity of the brain lesions. The main diagnostic methods are electroencephalogram (EEG) and magnetic resonance imaging (MRI), with EEG showing typical patterns. It is recommended to receive treatment in a regular hospital.