بررسی 10 ساله درمان اسپاسم شیرخواران در مرکز طبی کودکان با کلونازپام، استرویید و ترکیب هر دو

In the past ten years, 45 cases of infantile spasm treated in our center. From these patients, 15 cases received only steroid, other 15 cases only clonazepam, and the rest, a combination of clonazepam and steroid. All patients were observed for two years. This is a retrospective study, the data being extracted from patients' record. A number of patients were treated in ambulatory and the others were patients of the hospital. The result of comparison of optimal control of seizures are as follow: 1) In "only steroid group" 27 percent of the patients were free of seizure, 2) In "only clonazepam group" 28 percent showed no seizure, 3) in "combined clonazepam and steroid group" 39% were seizure-free. Based on this trial we believe that treatment of infantile spasm with combined steroid and clonazepam is better than any of them alone. Considering these results, we believe that the treatment of infantile spasm with a combination of steroid and clonazepam is preferable to these drugs.