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Pediatrics General 7c88db32

Hypsarrythmia in a child is due to-

A
Grandmal epilepsy
B
Petitmal epilepsy
C
Myoclonic epilepsy
D
Reflex epilepsy
High-Yield Explanation
Ans. is 'c' i.e., Myoclonic epilepsy Myoclonic epilepsy may be ? i) Infantile spasm or Infantile myoclonus or west syndrome ii) Juvenile myoclonic epilepsy Infantile spasm (Infantile myoclonus or west syndrome) o The onset is usually between 3-8 months of life o It is characterized by triad of ? i) Salaam spells (sudden droping of the head & flexion of arms) ii) Mental retardation iii) Hypsarrhythmic pattern of EEG (diffuse high voltage slow spike and chaotic activity) o The spasm occur in clusters usually on waking. o Prognosis for normal mental development is poor. Treatment of infantile myoclonus o ACTH and coicosteroids are given for 2-12 weeks, depending upon resonse. o Vagabatrin is the DOC Now.

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