P407: Atypical reactions to infantile spasms medications in a child with UNC80 deficiency

During her initial hospital admission, clobazam and levetiracetam were started. ACTH therapy was started but was discontinued due to adverse events. As an outpatient, she was prescribed vigabatrin; however, due to side effects and poor clinical response, it was discontinued. She then started valproate and zonisamide. After transitioning to a new hospital, ACTH therapy was reattempted and clobazam was increased.