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An update on the ketogenic diet, 2012.

Ayelet Halevy1, Lilach Peleg-Weiss, Roni Cohen

  • 1The Institute of Pediatric and Adolescent Neurology, Schneider Children's Medical Center of Israel, Petach-Tikva, Israel and the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Rambam Maimonides Medical Journal
|August 3, 2013
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Summary

The ketogenic diet, used for 90 years, is increasingly recognized for treating pediatric epilepsy. This dietary therapy improves cognition and alertness in children, even with severe epilepsy, and shows good parental compliance.

Keywords:
Epilepsyketogenic diet

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Area of Science:

  • Neurology
  • Pediatrics
  • Dietary Therapy

Background:

  • The ketogenic diet has a 90-year history in medical applications.
  • Its efficacy in treating pediatric epilepsy is increasingly acknowledged.
  • Cognitive and alertness impairments are common in pediatric epilepsy.

Purpose of the Study:

  • To review the role of the ketogenic diet in pediatric epilepsy treatment.
  • To highlight advancements in understanding contraindications and applications.
  • To assess its utility as a therapeutic option.

Main Methods:

  • Literature review on ketogenic diet for pediatric epilepsy.
  • Analysis of its effects on cognition and alertness.
  • Evaluation of parental compliance and specific epilepsy types.

Main Results:

  • The ketogenic diet is effective for various epilepsies, including severe infantile spasms.
  • It positively impacts children's alertness and cognition.
  • Parental compliance is favorable despite dietary challenges.

Conclusions:

  • The ketogenic diet is a viable option for pediatric epilepsy, especially when other treatments fail.
  • Understanding of its application in severe infantile epilepsy has advanced.
  • It offers benefits beyond seizure control, improving cognitive function.