The ketogenic diet for medically and surgically refractory status epilepticus in the neurocritical care unit

Research output: Contribution to journalArticlepeer-review

Abstract

Background Refractory status epilepticus carries a high risk of morbidity and mortality despite, and at times as a result of, aggressive pharmacologic interventions. Dietary therapies have been used for almost a century in children for controlling medically refractory seizures and status epilepticus and recent studies suggest efficacy and safety in adults as well. Methods Case report and literature review. Results We describe a case of medically and surgically refractory status epilepticus that was controlled after initiation of the ketogenic diet and maintenance with the modified Atkins diet in an adult in the neurocritical care unit. Conclusions Dietary therapy should be considered as a treatment option in adult patients with refractory status epilepticus.

Original languageEnglish (US)
Pages (from-to)519-524
Number of pages6
JournalNeurocritical care
Volume15
Issue number3
DOIs
StatePublished - Dec 1 2011

Keywords

  • Complex partial seizure
  • Epilepsy
  • Ketogenic diet
  • Modified Atkins diet
  • Neurocritical care
  • Seizure
  • Status epilepticus

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

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