Highlights
A multipronged teleneurology based approach for management of infantile spasms is needed for developing countries.
Key principles: Fundamentals of management of IS, decentralization of patient care to local health providers, and early initiation of first-line therapeutic options.
Efforts should be made for improving sensitivity and specificity of diagnosis.
Constant motivation of parents and local health providers for monitoring therapeutic response, adverse effects of therapy, and infections.