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Research ArticleOriginal Article
Open Access

The response patterns of infantile spasms to treatments in 156 patients

Hormonal therapy with intravenous synthetic ACTH appears promising

Muhammad T. Alrifai, Ahmad R. Al-Rumayyan, Waleed A. Al-Tuwaijri, Duaa M. Baarmah, Safiyyah A. Asiri, Ahmad H. Bali, Muatassem A. Alsadhan and Shaden H. Alsugheir
Neurosciences Journal January 2022, 27 (1) 40-44; DOI: https://doi.org/10.17712/nsj.2022.1.20210116
Muhammad T. Alrifai
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
MD
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  • For correspondence: [email protected]
Ahmad R. Al-Rumayyan
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
MBBS, FRCPC
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Waleed A. Al-Tuwaijri
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
MBBS
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Duaa M. Baarmah
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
MBBS
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Safiyyah A. Asiri
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
MBBS
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Ahmad H. Bali
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
MBBS
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Muatassem A. Alsadhan
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
Medical student
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Shaden H. Alsugheir
From the Department of Pediatrics (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Bali), Neurology Division, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, from the College of Medicine (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali, Alsadhan, Alsugheir), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Alrifai, Al-Rumayyan, Al-Tuwaijri, Baarmah, Asiri, Bali), Riyadh, Kingdom of Saudi Arabia.
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    Table 1

    - Comparison of responders to treatment vs non-responders groups.

     Responders n=72Non-responders n=84P-value
     n (%) 
    Male gender43(60)44(52)0.35
    Age(month)
    Mean (SD)9.7(7)9.6(6.6)0.44
    Etiology
    Median78 
    Cryptogenic22(31)20(24)0.34
    Symptomatic50(69)64(76) 
    EEG
    Typical hypsarrhythmia26(36)20(24)0.09
    Atypical hypsarrhythmia46(64)64(76) 
    Outcome
    Fair14(19)0(0)0.000
    poor58(81)84(100) 
    Epilepsy at 2 years26/50(52)50/57(88)0.000
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Neurosciences Journal: 27 (1)
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The response patterns of infantile spasms to treatments in 156 patients
Muhammad T. Alrifai, Ahmad R. Al-Rumayyan, Waleed A. Al-Tuwaijri, Duaa M. Baarmah, Safiyyah A. Asiri, Ahmad H. Bali, Muatassem A. Alsadhan, Shaden H. Alsugheir
Neurosciences Journal Jan 2022, 27 (1) 40-44; DOI: 10.17712/nsj.2022.1.20210116

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The response patterns of infantile spasms to treatments in 156 patients
Muhammad T. Alrifai, Ahmad R. Al-Rumayyan, Waleed A. Al-Tuwaijri, Duaa M. Baarmah, Safiyyah A. Asiri, Ahmad H. Bali, Muatassem A. Alsadhan, Shaden H. Alsugheir
Neurosciences Journal Jan 2022, 27 (1) 40-44; DOI: 10.17712/nsj.2022.1.20210116
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