Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report

Introduction: West syndrome (WS) comprises a classic triad of infantile spasms (ISs), hypsarrhythmia, and psychomotor delay. It is considered a rare epileptic encephalopathy typical to manifest in infancy or early childhood. Case description: This is a case report of a 6-year-old male child who was...

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Main Authors: Amit Khatri, Namita Kalra, Rishi Tyagi, Deepak Khandelwal, Shruti V Kulkarni, Neetu Garg, Khadeeja Kulood
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2023-12-01
Series:Journal of South Asian Association of Pediatric Dentistry
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Online Access:https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3278
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author Amit Khatri
Namita Kalra
Rishi Tyagi
Deepak Khandelwal
Shruti V Kulkarni
Neetu Garg
Khadeeja Kulood
author_facet Amit Khatri
Namita Kalra
Rishi Tyagi
Deepak Khandelwal
Shruti V Kulkarni
Neetu Garg
Khadeeja Kulood
author_sort Amit Khatri
collection DOAJ
description Introduction: West syndrome (WS) comprises a classic triad of infantile spasms (ISs), hypsarrhythmia, and psychomotor delay. It is considered a rare epileptic encephalopathy typical to manifest in infancy or early childhood. Case description: This is a case report of a 6-year-old male child who was a known case of global developmental disorder (GDD) with structural WS. The child presented with typical dental findings and a history of ISs in clusters. The case report elucidates the dental treatment modalities followed, which emphasized preventive approaches and home care to complement professional care. Recall appointments were planned to reinforce preventive measures. Conclusion: Dental care for special needs patients can become more challenging in patients with severe intellectual disabilities, poor communication skills, and a diminished capacity to participate in even routine dental procedures. Thus, the major emphasis of oral health care in patients of WS should be on preventive measures. Clinical significance: This case report emphasizes the role of a pediatric dentist in the early diagnosis and management of oral health issues in a child with WS. Home care instructions for parents should focus on prevention and aid in inculcating an adequate home care regime to maintain good oral health status.
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publisher Jaypee Brothers Medical Publisher
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series Journal of South Asian Association of Pediatric Dentistry
spelling doaj-art-e93e387a3f41496fad059cd08e23b56e2025-08-20T02:17:41ZengJaypee Brothers Medical PublisherJournal of South Asian Association of Pediatric Dentistry2582-10242023-12-016313914210.5005/jp-journals-10077-32789Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case ReportAmit Khatri0https://orcid.org/0000-0001-8071-0501Namita Kalra1Rishi Tyagi2Deepak Khandelwal3Shruti V Kulkarni4Neetu Garg5Khadeeja Kulood6Department of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, IndiaDepartment of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, IndiaDepartment of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, IndiaDepartment of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, IndiaShruti V Kulkarni, Department of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, India, Phone: +91 8390705180Department of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, IndiaDepartment of Pedodontics and Preventive Dentistry, University College of Medical Sciences, Delhi, IndiaIntroduction: West syndrome (WS) comprises a classic triad of infantile spasms (ISs), hypsarrhythmia, and psychomotor delay. It is considered a rare epileptic encephalopathy typical to manifest in infancy or early childhood. Case description: This is a case report of a 6-year-old male child who was a known case of global developmental disorder (GDD) with structural WS. The child presented with typical dental findings and a history of ISs in clusters. The case report elucidates the dental treatment modalities followed, which emphasized preventive approaches and home care to complement professional care. Recall appointments were planned to reinforce preventive measures. Conclusion: Dental care for special needs patients can become more challenging in patients with severe intellectual disabilities, poor communication skills, and a diminished capacity to participate in even routine dental procedures. Thus, the major emphasis of oral health care in patients of WS should be on preventive measures. Clinical significance: This case report emphasizes the role of a pediatric dentist in the early diagnosis and management of oral health issues in a child with WS. Home care instructions for parents should focus on prevention and aid in inculcating an adequate home care regime to maintain good oral health status.https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3278case reporthypsarrhythmiainfantile spasmwest syndrome
spellingShingle Amit Khatri
Namita Kalra
Rishi Tyagi
Deepak Khandelwal
Shruti V Kulkarni
Neetu Garg
Khadeeja Kulood
Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report
Journal of South Asian Association of Pediatric Dentistry
case report
hypsarrhythmia
infantile spasm
west syndrome
title Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report
title_full Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report
title_fullStr Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report
title_full_unstemmed Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report
title_short Dental Considerations and Treatment Approaches in West Syndrome—Infantile Spasms: A Case Report
title_sort dental considerations and treatment approaches in west syndrome infantile spasms a case report
topic case report
hypsarrhythmia
infantile spasm
west syndrome
url https://www.jsaapd.com/doi/JSAAPD/pdf/10.5005/jp-journals-10077-3278
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