• Hoon-Chul Kang, Hyun Sug Lee, Su Jeong You, Du Cheol Kang, Tae-Sung Ko, and Heung Dong Kim.
• Department of Pediatrics, Epilepsy Center, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
• Epilepsia. 2007 Jan 1; 48 (1): 182-6.

PurposeTo evaluate the efficacy, safety and tolerability of a modified Atkins diet in intractable childhood epilepsy.MethodsFourteen 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.ResultsSix 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.ConclusionsThe 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.

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