Author(s): Kang HC, Lee HS, You SJ, Kang du C, Ko TS, et al.
Purpose:To evaluate the efficacy, safety and tolerability of a modified Atkins diet in intractable childhood epilepsy.
Methods:Fourteen children with epilepsy were treated prospectively with a modified Atkins diet. Outcome measures included seizure frequency, adverse reactions and tolerability to the diet; blood beta-hydroxybutyrate and urine ketones were also measured.
Results:Six months after diet initiation, seven (50%) remained on the diet, five (36%) had >50% seizure reduction, and three (21%) were seizure free. The diet was well tolerated by 12 (86%) patients. Most complications were transient and were successfully managed by careful follow-up and conservative strategies. A consistently strong ketosis (beta-hydroxybutyrate of >3 mmol/L) seemed to be important for maintaining the efficacy of the diet therapy.
Conclusions:The modified Atkins diet was well tolerated and sometimes a modified Atkins diet can be substituted for the conventional ketogenic diet. Serious complications were rare, but long-term complications remain to be determined.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/17241226
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