Response to second treatment after initial failed treatment in a multicenter prospective infantile spasms cohort.
Kelly G KnuppErin LeisterJason CoryellKatherine C NickelsNicole RyanElizabeth Juarez-ColungaWilliam D GaillardJohn R MytingerAnne T BergJohn J MillichapDouglas R NordliSucheta JoshiRenée A ShellhaasTobias LoddenkemperDennis DlugosElaine WirrellJoseph SullivanAdam L HartmanEric H KossoffZachary M GrinspanLorie Hamikawanull nullPublished in: Epilepsia (2016)
Greater than one third of children with IS will respond to a second medication. Choosing a standard medication (ACTH, oral corticosteroids, or vigabatrin) that has a different mechanism of action appears to be more effective. Rapid initial treatment increases the likelihood of response to the second treatment.