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Modified Atkins Diet for the Treatment of Nonconvulsive Status Epilepticus in Children
Tomohiro Kumada, MD*,
Tomoko Miyajima, MD,
Nobusuke Kimura, MD,
Keiko Saito, MD,
Hideki Shimomura, MD,
Nozomi Oda, MD,
and
Tatsuya Fujii, MD, PhD
Department of Pediatrics, Shiga Medical Center for Children, Shiga, Japan
* To whom correspondence should be addressed. E-mail: tkumada{at}mccs.jp.
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Abstract |
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The authors describe the use of a modified Atkins diet for the treatment of 2 children with nonconvulsive status epilepticus. Patient 1 was a 4-year-and-11-month-old girl diagnosed with frontal lobe epilepsy. Since the age of 3 years and 10 months, she had daily nonconvulsive status epilepticus resistant to antiepileptic agents. Patient 2 was a 5-year-and-5-month-old girl with subcortical band heterotopia. She had nonconvulsive status epilepticus daily since the age of 5 years. They were treated with the modified Atkins diet, in which carbohydrate intake was restricted to 10 g/d without restriction on protein, caloric, or fluid intake. The nonconvulsive status epilepticus disappeared 5 and 10 days after the initiation of the diet treatment, respectively. They have been on the diet treatment and free from nonconvulsive status epilepticus for 19 and 4 months, respectively. The modified Atkins diet appears to be very effective for the treatment of nonconvulsive status epilepticus.
First published on September 24, 2009
Journal of Child Neurology 2009, doi:10.1177/0883073809347597
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