Outcome for West syndrome following surgical treatment

Epilepsia. 1991 Sep-Oct;32(5):668-71. doi: 10.1111/j.1528-1157.1991.tb04707.x.


We report the case of an 18-month-old child with infantile spasms and a hypsarrhythmic electroencephalogram (EEG) pattern associated with a porencephalic cyst. Surgical removal of the cyst and its surrounding tissue was performed following failure of medical therapy. Postoperatively, the patient has been free of infantile spasms for 12 months and the EEG has normalized. He has been maintained on the same preoperative antiepileptic medications. This case suggests that surgical treatment is helpful in selected patients with infantile spasms and focal CNS lesions.

Publication types

  • Case Reports

MeSH terms

  • Brain / physiopathology
  • Brain Diseases / complications
  • Brain Diseases / surgery
  • Cysts / complications
  • Cysts / surgery
  • Electroencephalography
  • Follow-Up Studies
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Spasms, Infantile / diagnosis
  • Spasms, Infantile / etiology
  • Spasms, Infantile / surgery*