Cerebral Atrophy Following ACTH Therapy

Abstract
In a study of 15 patients with infantile spasms and Lennox syndrome, 4 (26.7%) showed no cerebral atrophy and 11 (73.3%) showed mild ventricular and sulcal enlargement before ACTH therapy. Ventricular and sulcal enlargement increased soon after ACTH therapy in most patients. Cerebral atrophy was reversible at over 1 mo. after ACTH therapy. In 3 instances, cerebral atrophy was not reversible as observed with computed tomography; 1 patient with infantile spasms had chronic subdural effusion, which appeared to be a complication of treatment with ACTH. Patients on ACTH therapy should be carefully monitored.

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