An infant of 5 months presents with sudden dropping of head and flexion of arms. On examination, infant has hypopigmented macule on trunk. What is the drug of choice for this condition: (A) Vigabatrin, (B) Sodium Valproate, (C) Ethosuccimide, (D) ACTH
Answer is A. Sudden dropping of head and flexion of arms ⇒ Salam spells
It is seen in west syndrome.
Hypopigmented macules on trunk ⇒ Tuberous sclerosis
Drug of choice:
a) West syndrome ⇒ ACTH
b) West syndrome + Tuberous Sclerosis ⇒ Vigabatrin