title: Long-term prognosis of patients with West syndrome in Japan: medical aspects.
abstract: In this study, West syndrome prognosis over 20 years was described. All information was obtained from the primary caregivers of patients with West syndrome thorough questionnaires. Of the 259 respondents, 117 patients born between 1960 and 1980 were analyzed. At the age of 20 years two patients were deceased, of the surviving patients, 40% of patients had seizures daily or weekly and 25.2% had been seizure-free for at least 3 years. There was significant difference in the seizure persistence value between West syndrome etiologies but not between the birth cohorts; of those born in the 1960s and 1970s. Compared with severe seizure persistence, which was the duration of the existing daily or weekly seizures at each age, there were no significant difference between birth cohorts and West syndrome etiologies.
authors.affiliation: Japanese Epilepsy Association: The Research Committee of Tokyo Chapter, Tokyo, Japan. itmkk@sahs.med.osaka-u.ac.jp
authors.forename: M
authors.initials: M
authors.lastname: Ito
authors.forename: T
authors.initials: T
authors.lastname: Kumagai
authors.forename: Y
authors.initials: Y
authors.lastname: Yamazaki
authors.forename: K
authors.initials: K
authors.lastname: Sekijima
authors.forename: K
authors.initials: K
authors.lastname: Sakakibara
authors.forename: Y
authors.initials: Y
authors.lastname: Matsutomo
authors.forename: F
authors.initials: F
authors.lastname: Hijikigawa
authors.forename: H
authors.initials: H
authors.lastname: Yamada
mesh_terms: D000293:Adolescent; D000324:Adrenocorticotropic Hormone / Q000627:therapeutic use; D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007564:Japan; D011379:Prognosis; D011788:Quality of Life; D012640:Seizures / Q000453:epidemiology; D013036:Spasms, Infantile / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants; D000324:Adrenocorticotropic Hormone