ACTH is the standard treatment for infantile spasms (IS) in North America.
Recent reports showed that vigabatrin is a valuable treatment for IS, but c
omparative studies with ACTH are limited. In this study, we compare the eff
ectiveness of ACTH versus vigabatrin on IS. Our results support that vigaba
trin is as effective as and better tolerated than ACTH. Because of their si
milar efficacy, we believe that vigabatrin should be the first intention dr
ug for the treatment of IS.