Infantile Spasm fits seizures infantilespasm epilepsy treatment
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Notice how this infant has a sudden splaying of it’s arms when it experiences a sudden sensation of falling. This ‘Moro reflex’, also known as the ’startle reflex’ is a normal primitive, infantile reflex. It’s an involuntary protective motor response against abrupt disruption of body balance or extremely sudden stimulation. Loud noises, intense light, sudden movements can trigger a baby’s Moro reflex. They can even trigger it in themselves when they move suddenly! It is believed that this may be a survival instinct to help the infant cling to its mother. • Ernst Moro first described the Moro reflex in 1918. It can be seen as early as 25 weeks postconceptional age usually is present by 30 weeks postconceptional age. The reflex is present in full-term infants begins to disappear by 12 weeks with complete disappearance by six months. • The reflex is elicited by pulling up on the infant's arms while in a supine position letting go of the arms causing the sensation of falling. Production of the reflex is by the suddenness of the stimuli NOT the distance of the drop. There is no need to lift the infants head off of the bed to elicit this reflex (also notice the practitioner properly support’s the baby’s head while performing this exam) . The normal Moro reflex starts with the abduction of the upper extremities extension of the arms. The fingers extend, there is a slight extension of the neck spine. After this initial phase, the arms adduct the hands come to the front of the body before returning to the infant's side • The absence or premature disappearance of this reflex can result from a birth injury, severe asphyxia during the birthing process, intracranial hemorrhage, infection, brain malformation, general muscular weakness of any cause, cerebral palsy of the spastic type. Asymmetrical Moro can be due to a local injury. Damage to a peripheral nerve, cervical cord, or a fracture of the clavicle are common causes to an asymmetric Moro causes inhibition of the reflex on the affected side. Prolonged retention of the Moro reflex can also be a sign of spastic cerebral palsy. • In one study, the presence or absence of the Moro reflex is more related to the development of the infant and less likely pertains to pathogenic conditions. Another study showed a clear association between retained primitive reflexes and delay in motor development in very low birth weight infants. • #MEDspiration
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