Atonic elements combined or uncombined with epileptic spasms in infantile spasms

Infantile spasms is an age-related epileptic encephalopathy due to multiple and diverse causes, which was first described by West (1841). It may be onset directly or an evolution from Ohtahara syndrome. The age of spasms onset is usually between 3 and 12 months and a peak at 5 months in 90% of cases, while an onset under 3 months or between 1 and 3 years is rare (Panayiotopoulos, 2005). Infantile spasms is characterized by an unique type of seizure called epileptic spasms and gross EEG abnormalities of hypsarrhythmia (Panayiotopoulos, 2005).

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