Which specialist consultations are beneficial to patients with infantile spasm (West syndrome)?

Updated: Jan 11, 2019
  • Author: Tracy A Glauser, MD; Chief Editor: Stephen L Nelson, Jr, MD, PhD, FAACPDM, FAAN, FAAP  more...
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Answer

Consultations with the following specialists can be beneficial:

  • Pediatric neuropsychologists - Can assess intellectual function and educational needs and advise on nonpharmacologic management of behavioral problems

  • Pediatric psychiatrists - Can advise on pharmacologic management of behavioral problems

  • Neurosurgeons - Can help to assess whether the infant is a candidate for focal resection

  • Dietitians - Can assist in the institution and maintenance of the ketogenic diet

  • Cardiologists - Can be consulted at the initiation of therapy with ACTH or steroids; they can look for potential side effects of these therapies, evaluating cardiac function (by looking for signs of hypertrophic cardiomyopathy) and aiding in the management of hypertension


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