Learn about our expanded patient care options and visitor guidelines. One of the oldest treatments for epilepsy is the classic ketogenic diet, which involves consuming high-fat foods and very few carbohydrates. Johns Hopkins is a longstanding pioneer in this mode of therapy. In order to be successful, this therapy calls for strict compliance and plenty of patience, especially in the beginning. Most important, patients with epilepsy should only use the diet with the support of a knowledgeable ketogenic diet team, including a doctor and a licensed dietitian who can correctly calculate and monitor the diet for each individual. We are one of the premiere centers in the world for clinical and research expertise on the ketogenic diet, having treated over 1, children with this approach. We usually see the child for a one-hour office visit before admission to the ketogenic diet program. We admit approximately four children ranging from infants to adolescents each month to participate in the therapeutic ketogenic diet program. New patients take part in a 3-day orientation Monday through Wednesday that starts the child on the diet and provides education for the family. After that, we follow up with the patients in our clinic every one to three months.
It controls the type of food and the quantity of food. The modified atkins diet in refractory epilepsy. The keto diet can take time to have an effect. The ketogenic diet can be effective for all seizure types and epilepsy syndromes. Epilepsy is a condition in which the nervous system becomes disrupted by electrical signals. History of the ketogenic diet. Long-chain acyl dehydrogenase deficiency LCAD. He studied a series of patients with epilepsy and demonstrated a result equivalent to fasting and that was maintained for a much longer period. For efficacy, the KD requires a period of at least 3 months from the time that the patient reaches ketosis, so it is important to encourage the patient and the family to continue with the diet for this period without changing the medication.
Medically reviewed by Natalie Butler, R. It’s a change in lifestyle. Maintaining the diet was challenging for Mon, who says it took several months to get into a groove. The modern use of this form of therapy began in the early s Lima et al. Vagus nerve stimulation therapy is a treatment for epilepsy that involves a stimulator or ‘pulse generator’ which is connected, inside the body, to the left vagus nerve in the neck. Put your child on the ketogenic diet, and the challenge can be overwhelming. Epilepsy and foods.