TABLE 1.
N = 16 | |
---|---|
Gender (boy: girl) | 8:8 (50%:50%) |
Age at epilepsy onset [months; median (range)] |
5 (2‐11) |
Duration from epilepsy onset to initial ACTH [months; median (range)] |
1.0 (0.3‐13) |
Age at LT‐ACTH initiation [months; median (range)] |
14.5 (7‐68) |
Duration from epilepsy onset to LT‐ACTH [months; median (range)] |
10.5 (2‐60) |
Epilepsy syndrome | |
West syndrome (N) | 16 (100%) |
Etiology | |
Structural cerebral abnormality (N) | 9 (56%) |
Genetic (N) | 3 (19%) |
Unknown (N) | 4 (25%) |
Development before epilepsy onset | |
Normal (N) | 7 (13%) |
Mild delay (N) | — |
Moderate delay (N) | 2 (13%) |
Severe delay (N) | 6 (38%) |
Not answered (N) | 1 (6%) |
Development at LT‐ACTH initiation | |
Moderate delay (N) | 2 (13%) |
Severe delay (N) | 13 (81%) |
Not answered (N) | 1 (6%) |
Autistic symptom (N) | 5 (31%) |
Aberrant behavior (N) | 2 (13%) |
Treatment before LT‐ACTH | |
Number of AED [N; mean (SD)] | 4.2 (1.5) |
Previous attempts of conventional ACTH | |
0 (N) | 3 (19%) |
1 (N) | 8 (50%) |
2 (N) | 5 (13%) |
Vigabatrin use (N) | 1 (6%) |
Ketogenic diet (N) | 1 (6%) |
Corpus callosotomy (N) | 1 (6%) |
VNS (N) | 1 (6%) |
Abbreviations: ACTH, adrenocorticotropic hormone; AED, antiepileptic drugs; LT‐ACTH, long‐term ACTH therapy; VNS, vagus nerve stimulation.