Dietary treatment of epilepsy: practical implementation of by Elizabeth Neal

By Elizabeth Neal

Epilepsy is a typical continual neurological ailment characterized via recurrent unprovoked seizures, and impacts 50 million humans world wide. nearly 30% of those would not have seizure keep an eye on inspite of the simplest on hand medicinal drugs, therefore renewed and lengthening curiosity within the use of nutritional remedies to regard epilepsy. those remedies contain the conventional ketogenic diets but in addition the more recent converted Atkins nutrition and coffee glycaemic index treatment.
The ketogenic nutrition is a high-fat, adequate-protein, low-carbohydrate vitamin that during medication is used basically to regard refractory epilepsy in youngsters, and calls for the committed help of a multi-disciplinary crew together with medical professionals and dietitians. Dietary remedy of Epilepsy: useful Implementation of Ketogenic Therapy presents entire and sensible education on all points of enforcing and dealing with nutritional remedies for epilepsy, with key chapters on overview, calculations, implementation, tracking and complications.
Edited via a hugely revered professional within the box supported by means of a robust crew of individuals, this can be a must-have source for paediatric dietitians and different participants of the remedy crew.

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1998). In this study, 150 children aged 1–16 years with more than two seizures per week who had failed at least two anticonvulsants were followed for 1 year. At 6 months, 71 % remained on the diet; 51 % had a greater than 50 % improvement and 32 % had a greater than 90 % reduction. No specific seizure type preferentially improved, but the diet was less effective in children older than 8 years. In 2000, an article written for the United States Blue Cross Blue Shield insurance company reviewed all studies to date and concluded the diet led to a ‘significant reduction in seizure frequency’ and that ‘it is unlikely that this degree of Dietary Treatment of Epilepsy: Practical Implementation of Ketogenic Therapy, First Edition.

1998)* Hassan et al. (1999) Kankirawatana et al. (2001)* Nordli et al. (2001) Coppola et al. (2002)* François et al. (2003) Mady et al. (2003) Kim et al. (2004) Klepper et al. (2004) Vaisleib et al. (2004) Seo et al. (2007) Neal et al. (2008)* Nathan et al. (2009)* Hong et al. (2010)* Dressler et al. (2010) No. of patients >90 % improvement rate at 6 months 58 51 150 29 % 29 % 32 % 52 35 75 % 67 % 53 % 51 % 67 % 32 56 29 45 124 111 54 74 54 105 104 50 >50 % improvement rate at 6 months 55 % 27 % 29 % 53 % (3 months) 17 % 24 % 7% 62 % 48 % 41 % 50 % 76 % (3 months) 31 % 65 % 79 % 38 % 80 % 64 % 50 % *Prospective studies.

The two most widely reported conditions include glucose transporter (GLUT) type 1 deficiency and pyruvate dehydrogenase (PDH) deficiency. Both conditions are metabolic ones in which the KD is the only therapy that treats the underlying condition. In these situations, seizures may be mild in fact. What about other epilepsy conditions? Perhaps most promising is infantile spasms. In this condition, which affects infants aged 3–6 months at onset, a highvoltage, chaotic, multifocal spike and slow wave pattern is recognized on EEG in association with clusters of head drops and arm extensions.

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