Infantile spasms/ West syndrome | Clinical features, investigations and treatment | Child Neurology

Infantile spasms/ West syndrome | Clinical features, investigations and treatment | Child Neurology
Hi, I am Dr. Mukul Malhotra and welcome to my channel.
About this video
In this video I’ll discuss about the clinical features, investigations, treatment and prognosis of infantile spasms/West syndrome. I would like to request everyone to please leave your feedback in the comment section below. Thank you.
Queries solved:
1. What are the terminologies associated with infantile spasm/West syndrome
2. How to identify infantile spasms
3. What investigations required for diagnosis and management of West syndrome
4. How to treat infantile spasms/West syndrome
5. What is the prognosis if your child has west syndrome
Time stamps
00:21 Introduction
00:36 Purpose of video
01:38 Terminologies
05:04 How to identify infantile spasms
07:54 Causes of infantile spasms
16:35 Investigations in west syndrome
27:25 Treatment of West Syndrome
41:36 Prognosis of West syndrome
47:51 Outro
Other social links
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#Infantilespasms #Westsyndrome #Howtoidentifywestsyndrome #Westsyndromekkaaran #Causesofwestsyndrome #Investigationsinwestsyndrome #Westsyndromekailaaj #Treatmentofwestsyndrome #Prognosisofwestsyndrome
#Childneurology #Bacchonkeneurologist #Kableinchildneurologistkisalah #Whentoconsultchildneurologist #Drmukulmalhotra #Hindi

[@shridharjoshi7315]

One of the best and most detailed video regarding west syndrome.

[@sanaullahqureshi2922]

Sir Meritaraf se salam hy.... Allah pak apku khush rkhy jis tareqy se apne samjahayay Hy pory Pakistan ki taraf se salam . Mola Hussain apku Abad Rakhy...aur ziada taraqi dy...... ❤🎉🌹💖💙❤👍🙏🌹💖

[@pranjalchaurasia1305]

Excellent presentation about West syndrome...keep the good work up 👍

[@sujatasharma1830]

Ky kare mera beta ko bhi yhi prblm h

[@sumitchauhan4498]

@@sujatasharma1830 PGI Chandigarh le jao .

[@afaqkhan4165]

Assalamualaikum every one. Sab Tek hongy Allah k fazal sy . Mere baby ko b same yahi bimari thi ye Jo ilaj bta Rahe hai same usi tarha ilaj mere bety ka b chal Raha tha leken Tori SI b behtari nahi Howe Ulta or khrab hony Laga in medicine ki side effects b buhaat khtrnak hai . Pir mujy aik nek Allah Wala shakhs mela jis sy me ny apny bete ka dam karwaya or AJ shokr hai Mera beta Bina medicines k bilkol Teeek taak hai . Mashallah Allah ka buhat buhat shukr hai warna in doctoro NY to mere bete ko or khrab Karna tha or teek nahi.

[@ridahashmi8409]

Apny kidr s dam karwaya ha kindly share kardain

[@sabyakhan9740]

Allahuakbar.... My 9 months boy is also suffering from this disease... After reading your comment I really feel like inshahAllah my son will be alright with the grace of Almighty..

[@savitrikumar9542]

Please tell me what he gave to your son please moje be bataiye

[@sadiasadia9123]

Ap ny kahn sa treatment leya kindly share kreay plz

[@MdZia-v8m]

Plz aap bta dijiye k kha dam kraya hai meri beti ko v same problem hai humlog vhut preshan h plz help krdein btakr plz

[@kavyavokkaliga5800]

Thanks sir the most important information you're given, my baby having the same issue

[@vinitasaroha1452]

Thank you so much for valuable knowledge.

[@hilallonekangan987]

Best video on west syndrome thankyou sir

[@piyushyadav6453]

Very clear

[@drgauravuppal]

excellent video sir. Hats off

[@radhachandel9995]

Sir aapne bahut accha explain kiya thank u sir 👍

[@prashantdubey7007]

Sir, Very important information 🙏🙏🙏🌹🙏

[@vivekvibhandik5871]

Sir, Thank you for such a great information, could you make a video on GEFS+ and dravet syndrome.

[@manreetchaudhary4515]

Very informative

[@rockfishingddn5618]

Sir aapki is video ne mere sare sawalo ke jawab de diye thank you so much...

[@arunasharma1378]

Thank you sir for valuable information 🙏

[@shlokshivekar1796]

Very usefull information. Thx sir.

[@umar10414]

Helpfull explaination

[@deepabawra8553]

Nice doc

[@poojapatel11]

Thank you sir important information 🙏🏻

[@MdRizwan-we2bk]

Good INFORMATION sir...

[@ayeshafatima500]

Outstanding sir

[@MdRizwan-we2bk]

Mere bachcha lagbhag 2 se dhai sal se yahi epilesi hai to kya ye thik ho sakta hai?

[@tianasinspiration3451]

@Dr.Mukul Malhotra sir my daughter is 9 months old and suffers from microcephaly and CP. Through her EEG recently, we came to know of her west syndrome diagnosis. So we have started her medication which is valprol 1.5 ml thrice a day Omnacortil 3 ml twice a day Petril 1/4 twice a day She remains very drowsy and lethargic throughout the day now and we are unable to get her into therapies. Please tell is this medication fine and why such lethargic behaviour

[@mrshammad8010]

How is your baby now

[@dhaliabhijeet]

Sir can you make vedio on shuddering attacks?

[@nehamehta4384]

Sir plz tell which scale to be used to assess the quality of life in IS

[@divineneurology]

@Neha Mehta there's no specific scale to assess the quality of life in children with IS, but quality of life in children with epilepsy questionnaire (QOLCE) can be used with minor modifications

[@mybabyvlog31]

Very informative....oral steroid se band ho gayi thi but jese hi band Kiya dobara suru ho gayi ab filhal vigabatrin chal rahi he mere baby ko...

[@gauravchoudhary3903]

Mere baby k bhi

[@pariparmar1788]

@@gauravchoudhary3903 kaisa h ab ??

[@gauravchoudhary3903]

@@pariparmar1788 fits bnd hn

[@simrankhan7694]

​@@gauravchoudhary3903kitne din chla dwa??? Plz bta dijiye mai bhot preshn hu,...ab baby kaisa hai?? Development thik hai bby ka????

[@RajatSahu-g6n]

Sir Mera baby 11month ka h,usko infantile spasm h ya west syndrome h samajh nhi aata es video me jo dekha ka vahi karta h use barnala me civil hospital me dikha rhe h,useko levitation, omega369,di ja rhi h but nhi teek ho rha h please help me sir

[@savitrikumar9542]

Very nice advice Dr my son is the same sickness he is 26 years old he s tablet cabarmasziphane and sodium valproate more than 14 years he takes is tablet sodium 600 ml and cabarmasziphane 400 but he still having fits please dr give sam salon for this please me from fiji vanua Levu labasa only one son n 2 daughters please i waiting for you ans any treatment in india one dr from chinai hospital recommends us to come india if anything can done by them u tell us please

[@naimarana9180]

Vry informative .... Thnks .. From pak

[@RajatSahu-g6n]

Sir please help me,mere baby ko es video me dikha h vahi fits aateh,dea sir koi elaj ki help kar do please

[@MajidKhan-qo3dr]

Doctor Sahab vigabatrin tablet ko kitne mahine tak istemaal kar sakte hain. Aur uske side effects kya hai

[@gauravchoudhary3903]

Vigabatrin powder h

[@vaibhavverma719]

Premature baby hai, ACTH complete ho chuke hai abhi Vigabartin chl rhi hai.... But ruk nhi rhe

[@black_666_yt]

Mere bete ko bhi west syndrome ka problem hai use multi focal seizures aate hain or uske to Phenobarbitone Levetiracetam Valproate Phenytoin Clobazzam Topiramate Lacosamide Drugs jaare hain or abhi vigabatrin start krna hai

[@priyanka_collection8905]

Same

[@snehalp2101]

Kay yeh amniocentesis me detect hota hai Kya?

[@ibrarahmad2816]

Hello Sir mere bete ki age ab 6 years ho gai hy aur usko bi different Child Specialists ny,1 year ki age sy hi Infantile Spasm diagnose kiya aur mere bete ko birth ke foran bad Bilateral Craniosynostosis Diagnose hoa tha aur 7 months ki age mein Neurosurgeon aur Plastic surgeon ny Frontal Orbito Remodeling aur Reconstruction ki hy aur surgery ke 5 months bad seizures start ho gaye thy aur 1 year ki age sy hi Paediatricians ny Tab Sabril 500mg ( Vigabatrin) advise ki hy aur 1/2 Tablet morning sy 2 & half tablets morning aur 2 & half tablets evening 4 years ki age tk use ki hy mgr seizures phr bi aate rehte thy aur abi bi aarahe hyn seizures aur ab mere bete ki age 6 years ho gai hy mgr abi tk Vigabatrin 500 mg half Tablet morning aur half tsblet evening mein dy rahe hyn aur sath Levetiracetam 100mg/ml 7.5 ml morning aur 7.5 ml evening mein dy rahe hyn aur sath Tab Phenobarbitone 30 mg ki 2 & half tablets morning aur 2 & half tablets evening mein dy rahe hyn mgr koi khas farq nai hy aur seizures phr bi aarahe hyn ab Peads ki Doctor ny ACTH injections advise kiey hyn aur INSHA ALLAH kal sy ACTH injections subcutaneously 6 weeks ke liey daily mere bete ko lagengy mere bete ka weight 20kg hy plz aur humain ek Paediatric Neurologist ny only Ketogenic diet ka kaha hy plz ap bi kuch mashwara dyn hum apne bete ko ACTH injections start krwayen ya phr Ketogenic diet start krein konsa best traetment hy aur mera beta chalta phirta hy mgr abi tk bilkul nai bol skta aur dekhta aur sunta bilkul thek hy

[@vikasretail7527]

Hello sir i have face same problem in my child aap me apne bete ka ATCH treatment start kara diya hai ? Agar haan to please sir btana improvement hai ? Request sir please revert

[@Raguvanshi4043]

Mujhe Jayda to nahi pata but bro mene apne bache ko ACTH lagwaye h 3 month Tak dose kam krte krte , abhi tak to sab tik h

[@simrankhan7694]

​@@Raguvanshi4043hi..raghu...plz tell me apka baby kaisa hai ab?? Development kaisa hai....? Sb kuch thik hai???

[@Raguvanshi4043]

Ji mera baby sahi hai ab normal hai

[@Raguvanshi4043]

​@@simrankhan7694devlopment to sahi hai doctor n dawai bhi 1 ml kr di hai ab to 🙏

[@588ganesh]

Sir kya yeh spasms jaise baccha bada hota hai toh, alongside medicine chalu raha ne se band hojata hai, aur hume only bacche ke development ke focus karna hoga?

[@manojan7855]

Sir kaya mein baby ko mustard head message kar sakty ho q ka usi west syndrome hai

[@shovonreal1663]

I heard after a period west syndrome converts into other sevior seizures

[@ArupSarker-q7b]

Sir, main Bangladesh se hu. Kya West syndrome aur Infertile Spasms ek hi tipe hain.

[@SANJAYKUMAR-xu3wj]

Please help me sir mere baby ko infantile spasam h,jase aapne videos me dikhaya h 9month ka h baby

[@mohdakram8141]

Sir ek clip jo baby birth time par roya nahi aur do din tak doro ke injection lagae h us par clip banaye

[@madhusmitabastia877]

Sir meri baby 1 month ka he Uski neck sometimes bend and automatically fix after 4 to 5 hours what is it

[@tabiikhan8416]

Hii sir mera baby 19 months k h usko 5 month m pehla attack aaya tha phir mumbai se treatment karaya to kuch din ruka phir se dusra sizures aane lga or ab 3 month se wesi infantile spasm aana shuru hogya bht sari medicine chl rhi h viganext shuru kiya h phir dubara se abhi....lekin abhi bhi sizures control nahi h .kuch smj nahi aarha kya kre plz help.

[@snigdharaula8764]

Sir MERI baby APNI legs ko joint Karke Kisi chij ya phir kisiko pakadkar APNI eyes close Karke op ASA sound Karke to padti he ya phir so Kati he ye Kiya he sir batao please main EEG test Bhai Kiya Kuch Bhai nehi pata chala

[@AbdulRehman-ts4vv]

Dr mere bety ka MRI karwya h us mai ye aya h ap bata sakty h ye thek ho sakta h

[@AbdulRehman-ts4vv]

Imaging findings of abnormal signal in bilateral centrum semiovale and in peritrigional white matter raises the possibility of prior hypoxic- ischemic insult. Clinical correlation is advised

[@AbdulRehman-ts4vv]

Ye report ai h Jo ap KO likh ke bhaja h please bty Kia ye zada problem h please 😢

[@AbdulRehman-ts4vv]

12 sal bad howa h baby please 🙏😢 reply Kia ye thek ho Sakta h LeRace syrup deti ho please reply 😢 please

[@priticlasses3177]

Hi sar mere beti 11 month ki hai aur uska neck control nahi ho raha hai MRi me joubert syndrome dikha raha hai

[@praweshzone]

My baby is suffering from west syndrome and I am from Nepal and we used ACTH for 29 days an after that EEG an MRI is normal

[@MdRizwan-we2bk]

Bachche ka ilaj kahan hua hai?

[@simrankhan7694]

Ab apja bby kaisa hai??? Development thik hai????

[@vaishaliverma7102]

Baby kaisa h uski development kaisi h

[@honeyyadav8836]

Sir Ji Namskar , Mera Beta 8 saal ka hai usko PGI Lucknow me West Sindrome Dignose kiya lekin jhatke band nahi hua vigabetrin 5 year tak de diya mai kya karun please sir ripley dijiye..........

[@vikasretail7527]

Sir aap ka beta thik hua ? I have same problem please agar aap ko koi treatment mile to btana.

[@syedsaifulislam8257]

Same problem sir my baby

[@maheshpadwal4623]

Sir hum mumbai se hai Hame apse consult karvana hai to hame ana padega ya call par kar sakte hai

[@divineneurology]

Teleconsultation le sakte hain, screen pe dikhaye number pe call karke

[@maheshpadwal4623]

@@divineneurology teleconsulatin timing

[@sshete4891]

@@divineneurology fees hai kya

[@nahida9732]

Plzzz bataiye n kha dam karai ap

[@pariparmar1788]

beta ko bhi I s he.. delevry bhi normal hai.. wheigt bhi 3 700gm tha pura normal aur healthy tha..pr 4 month me spasm huwa to iska kya reason hoga. ????Mri normal he... Abhi steroid tablet chalu he aur sath vigabatrin chalu... To sir esme kya reason hoga ???

[@pariparmar1788]

3 700kg

[@ayeshafatima500]

Sir can you help me

[@alkapatel2283]

Mera baby west cindrom hay kab bolaga

[@sujatab5802]

Sir, Dr.Mukul Namesakar Me apaka puana patient ka mother bolirungu.mera beta jay bardhan,age-3year8month,odisha.CMC Vellore December 2020 mien treatment fast time treatment korethe sir Apo. Second time fire goye the vellore tabo apo bahar gaye the igher study ke liye. Dr.dube sir sath hum consult keithe but hum Satisfaction nahinmila. tobo hum jada hope less goye. aje you tube mein aapka cenel dekhkar bahut Khushi mili.main aapka sath ek bar phone mera beta bareme batchit karana chahti hun. Please reply me………. 🙏🙏🙏🙏🙏

[@divineneurology]

Bahut achha laga aapki baat sun kar, aap screen pe diye number pe baat karke appointment fix kar lijiye, phir baat karte hain

[@UNKNOWNUNKNOWN-nt4js]

@@divineneurology thank you so much sir 🙏🏾🙏🏾🙏🏾

[@savitrikumar9542]

Fiji me bahut chies ka dawa nai hai Dr app bahut achi tara se bataiye bahut ascha laga

[@savitrikumar9542]

Dro no dena ham fiji se ap ko call karuga

[@farhanazakbar6158]

Hi sir..ye spasms horahe hai kithne saal thak rahenge

[@kirankhatri8551]

Apke baby ko kya hua h

[@sumitchauhan4498]

Sir mera baby 5 month ka hai uska treatment PGI Chandigarh chal rha hai kya theek ho jayega

[@simrankhan7694]

Kaisa hai baby apka?? Plz tell me...mujhe bht help mil jygi

[@sumitchauhan4498]

@@simrankhan7694 shree shyam ji ki kirpa se ab normal baby jesa hai

[@RahulSharma-ht3jw]

Hello sir mere bete ko bhi jhatke aate hai.

[@vinitasaroha1452]

Is it genetic problem.

[@black_666_yt]

ACTH bhi gya hai but time se nhi gya hai bich me gap ho gaya hai

[@Sallupop]

Doctor Sahab meri beti 5 sal ki hai ek sal mein ek bar dauda padta hai bukhar ke sath munh mein jhag aate Hain aankhen upar ho jaati Hain

[@madhusmitabastia877]

But her activity not delay

[@farhanazakbar6158]

Aur doctor ne ye bhi kaha ke two years thak ye aate rehenge ye normal hai ...kya doctor ka kehna sahi hai ya pehchanne me kuch galati horahi hai

[@kirankhatri8551]

Apke baby ko konse fits hote hen

[@RahulSharma-ht3jw]

Hiii

[@reemathakur1584]

Sir mere beti ko bhi west syndrome h 5 year ke h chalte h but baat nhi krte h kya ye bache baat ker skte h

[@simrankhan7694]

Hi reema....apka baby kaisa h ab??? Or bolti ek dm ni hai??? Or baki development kaisa hai?????

[@saadsaadsaadi443]

Sir mera beta 6 sal ka h bolta ni. Ar us ko bukhar k fits lgy thy.

[@amolofficial3274]

Dono Baccho Kon convulsion Ata tha. Dusre Bacche Ka TMS aur GCMS, MRI, EEG, CSF, test kiya tha. Genetic Krne se Pahle hi expired ho gaya

[@amolofficial3274]

Sir mera Dono Baccho ko HIE tha

[@rubalnidhiattri2853]

Sir mere bete ko v West syndrome hai baki toh sari recovery ho rhi hai bus chlta or bolta nhi hai uski age 3year 5month ho gai hai kya kre

[@rubalnidhiattri2853]

Please reply sir 🙏🙏🙏

[@sujatasharma1830]

Apka baby sitting nhi krta h

[@rubalnidhiattri2853]

Sir sitting krta hai crolling v krta hai pakad kr stand v ho jata hai bus chlta nhi hai or bolta v nhi hai

[@MohdSarif-k5n]

Sir my baby girl 5 year old suffering epilepsy pls suggest

[@AnshikaYadav-et1lb]

sir i tried all the medicine u discussed but still not worked .. aiims delhi se chal rha hai ilaz

[@ankitsingh-ci8uw]

@Pinkau Soni mere 3 month k bacche ko bhi yahi problem Hai, Lucknow me rahman hu , plz help me. Kis doctor ko dikhaau😰😰

[@mybabyvlog31]

Ab kya apka baby thik he ya medicine chal rhi he?

[@simrankhan7694]

Kaisa hai baby apka???

[@AbdulRehman-ts4vv]

Yaha Dr ache Nahi h ap jese ho to hum preshan na ho

[@farhanazakbar6158]

Meri 10 months ki bacchi hai usko bhi jhatke aate hai eeg karwaya hai doctor ne kaha sab normal hai phir jhatke aate rehte hai mujhe dar hai ki meri bacchi ko kya horaha hai

[@sumitchauhan4498]

Mere baby ko bhi mujhe bhi local doctor ne EEG ko normal tha per fir bhi problem ho Rahi thi . Fir main ab PGI Chandigarh treatment krwa rha hu

[@simrankhan7694]

​@@sumitchauhan4498kaisa hai baby apak??? Plzzz tell me ....mre baby ko v hora hai... development sb thik hai???

[@sumitchauhan4498]

@@simrankhan7694 mera baby shyam ji ki kirpa se acha hai

[@aabidmisgar2102]

Lkn sir meru bachy ko too cabarzmpne sai hi thk huva