• Neurocritical care · Dec 2011

    Case Reports

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

    • Romergryko G Geocadin, Mackenzie C Cervenka, Adam L Hartman, Arun Venkatesan, and Eric H Kossoff.
    • Department of Neurology, Johns Hopkins University School of Medicine, 600 N. Wolfe St., Meyer 2-147, Baltimore, MD 21287-7247, USA. mcerven1@jhmi.edu
    • Neurocrit Care. 2011 Dec 1;15(3):519-24.

    BackgroundRefractory 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.MethodsCase report and literature review.ResultsWe 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.ConclusionsDietary therapy should be considered as a treatment option in adult patients with refractory status epilepticus.

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