Melissa McCollom
NSCI 5373
November 14, 2002
Overview of Epilepsy
Grand mal
Petit mal
Causes of epilepsy:
Genetics
Injury to the brain
Brain tumor
Alcohol/Drug Abuse
Fat
Protein
Carbohydrate
0.1000 x 1,350 =
0.0125 x 1,350 =
0.0125 x 1,350 =
grams
135
16.87
16.87
Calculations:
Divide
Sample Meals:
Meal 1:
melted butter
heavy whipping cream
chicken
apple
sugar free Jell-O
Meal 2:
Who qualifies?
Children
for parents
Hospitalization to induce ketosis
Blood sugar and ketone levels monitored
1st meal: eggnog drink
Before discharge, the child must tolerate a
full ketogenic meal
Special toothpaste
No added seasonings
Supplementation:
Calcium
Water-soluble
B and C
Carnitine?
Advantages
1.
2.
3.
Laxative
Fast acting
More flexibility in the diet
Disadvantages
1.
2.
3.
Is it as effective?
Not palatable
Can cause stomach cramps
The neurologist
The dietician
Parents
Keto Kid
Effectiveness:
20-25%
Kidney stones
Constipation
Weight loss or gain
Dehydration
Cheating
VERY STRICT!
Long duration
Stunted Growth?
Heart Problems?
November is National
Epilepsy Awareness
Month
References
Berryman, S., (October 1997). The ketogenic diet revisited. Journal of the
American Dietetic Association, 97.
Chauncey, K., Ph.D., R.D., The ketogenic diet in the Treatment of Pediatric
Epilepsy. Retrieved November 7, 2002 from
http://www.ttuhsc.edu/pages/fammed/ketogenic.html.
Childrens Epilepsy Program: Ketogenic Diet Retrieved November 7, 2002 from
http://www.rch.unimelb.edu.au/cep/Pages/ketogenic_diet.html
Flamini, J., M.D., Treating epilepsy with the Ketogenic Diet. Retrieved November 7,
2002 from http://www.choa.org/library/conditions/ketogenic_history.shtml
Hendricks, M., (April 1995) High fat and Seizure free. John Hopkins Magazine.
Retrieved November 7, 2002 from http://www.jhu.edu/~jhumag/495 web/fat.html
Ketogenic Diet for Epilepsy. Retrieved November 7, 2002 from
http://137.172.248.46/epilepsy.html
The John Hopkins Ketogenic Diet Fact Sheet. Retrieved November 7, 2002 from
http://www.hopkinsmedicine.org/ketodiet.html
The Ketogenic Diet. Retrieved November 7, 2002 from
http://www.mynchen.demon.co.uk/The%20ketogenic%20diet
References (cont.)
Scalisi, J., MacCracken, K., (December 1999). Development and evaluation of a
ketogenic diet program. Journal of the American Dietetics Association, 99,
1554-1558.
Schwarzman, F., Koenigsberger, D., Couch, S., Carroll, J., (December 1999).
Growth and nutritional outcomes of children treated with the ketogenic diet.
Journal of the American Dietetics Association, 99, 1573-1575.
Vining, E., Pyzik, P., Pillas, D., Freeman, J., (1998). The efficacy of the ketogenic
diet 1998: A prospective evaluation of intervention in 150 children. Pediatrics,
102, 1358-1363.
What is epilepsy all about? Retrieved November 7, 2002 from
http://137.172.248.46/epilepsy.html
Williams, S., Schuller, R., Curtis, R., Basualdo-Hammond, C., (March 2002) Growth
retardation in children with epilepsy on the ketogenic diet: A retrospective chart
review. Journal of the American Dietetics Association, 102, 405-407.
Wyllie, E., Powaski, K., Chesney, D., Brouhard, B., (February 1999). Biochemical
abnormalities of the ketogenic diet in children. Clinical Pediatrics, 38, 107-109.