Spontaneous unconscious nodding could it be epilepsy or infantile spasms?

Patient's question:

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Start, occasionally there is a phenomenon of nodding head two or three times in a row, the frequency is slow, sometimes once every few days, sometimes two or three times a day. Motor development seems delayed, now at twelve and a half months cannot stand alone, can walk while holding hands, crawls very well, can even climb onto the sofa. The reaction is quite fast, can understand many words, but can only make sounds like 'daddy', 'mummy', 'ga ga' and very few syllables. Suspect postnatal hypoxia in utero left behind sequelae?

Doctor's answer:

Typical manifestations include frequent and brief nodding movements, and flexion movements of the trunk and arms presenting a posture similar to "hugging." Each episode lasts for several seconds; they often recur in clusters, with each cluster ranging from several to hundreds of episodes. Daily recurrence can range from several to dozens of clusters. Depending on the severity of brain abnormalities, infants with infantile spasms may also exhibit developmental regression, cerebral palsy, visual and hearing impairments, and other symptoms.
Recommendation: The primary methods for diagnosing infantile spasms are electroencephalography (EEG) and magnetic resonance imaging (MRI). EEG manifestations are highly characteristic. It is recommended to seek diagnosis and treatment from a formal hospital.

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