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Cushing's Ulcer as a Consequence of Adrenocorticotropic Hormone Administration for Infantile Spasms

Division of Neurology, The Children's Hospital of Philadelphia, Department of Neurology, The University of Pennsylvania School of Medicine, Philadelphia, PA

Mark Rogers, MD

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD

Adrenocorticotropic hormone (ACTH) is the treatment of choice for infantile spasms despite its multiple side effects. This case represents a previously unreported side effect, peptic ulceration, occurring during ACTH treatment of infantile spasms. Two pathophysiologic mechanisms are proposed and examined. A direct effect of ACTH on the duodenum is considered but deemed unlikely. Alternatively, the combination of the patient's communicating hydrocephalus and ACTH's central effects is proposed to have led to increased intracranial pressure and a Cushing's ulcer. The need for pretreatment neuroimaging and H₂-receptor antagonist use during ACTH therapy in all cases, along with gastrin level measurements in selected cases, is recommended. (J Child Neurol 1990;5:111-113).

Journal of Child Neurology, Vol. 5, No. 2, 111-113 (1990)
DOI: 10.1177/088307389000500207


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