Smartphone Diagnosis in Infant Seizures: Highly Effective?

COMMENTARY

Smartphone Diagnosis in Infant Seizures Could Be Highly Effective

Andrew N. Wilner, MD; Chethan Rao, DO

Disclosures

April 27, 2022

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This transcript has been edited for clarity.

Andrew N. Wilner, MD: Welcome to Medscape. I'm Dr Andrew Wilner, reporting from the American Epilepsy Society meeting.

Today, I have the pleasure of speaking with Dr Chethan Rao, a child and adolescent neurology resident from the Mayo Clinic in Jacksonville, Florida. Dr Rao has a particular interest in pediatric epilepsy. Welcome, Dr Rao.

Chethan Rao, DO: Thank you, Dr Wilner. It's a pleasure to be here, and thanks for taking the time to highlight our work.

Wilner: You had a very interesting paper at the meeting that I wanted to talk about, focused on infantile spasms and smartphone video. Before we dive into the paper, tell us: What are infantile spasms, and why is it important to diagnose them early?

Rao: Infantile spasms, also known as epileptic spasms, are 1- to 2-second seizures, and they typically consist of sudden stiffening of the body with brief bending forward or backward of the arms, legs, and head. They usually happen around age 3-8 months, and they typically occur in clusters, most often after awakening from sleep.

The incidence is about 1 in 2000-3000 children. Many kids with spasms go on to develop seizures that are very difficult to treat, like Lennox-Gastaut epilepsy, and many go on to have developmental delays as well.

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