How to rule out infantile spasms

Patient's question:

A 6-month-old baby cannot lift their head, can roll over, and has a normal appetite. There are basically no abnormalities, but sometimes they shake. How can infantile spasms be ruled out?

Doctor's answer:

Infants with severe pain symptoms should be carefully observed for potential recurrence of brain injuries. A head CT scan can be performed to assess whether there is a recurrence of brain tissue damage. Surgical intervention may be necessary to remove the lesion and alleviate symptoms. Additionally, it is important to monitor for signs of intracranial pressure drops, as high intracranial pressure can also lead to convulsive manifestations.

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