Presentación de un caso de aplicación de la dieta cetogénica en la epilepsia refractaria / Presentation of a case of application of the diet cetogénica in the fireproof epilepsy
Rev. cuba. pediatr
; 79(4)oct.-dic. 2007. tab
Article
in Es
| LILACS
| ID: lil-499412
Responsible library:
CU1.1
RESUMEN
Se presenta el caso de un paciente del sexo masculino, de 2 años de edad, que padece síndrome de West y que ha recibido tratamiento con múltiples drogas antiepilépticas sin obtener resultados alentadores ni en las crisis ni en su desarrollo psicomotor, seriamente afectado. Se establece el régimen de alimentación cetogénico de instalación progresiva, sin período de ayuno inicial, y se observa un cambio clínico en el paciente a partir de que se logran niveles de cetosis, constatados por la aparición de cuerpos cetónicos en la orina. Los cambios clínicos consisten en la disminución del número de crisis diarias y de su intensidad, en la posibilidad de suspender una de las drogas antiepilépticas que usaba, y en el aumento del nivel de vigilia del paciente. Se concluye que no se debe renunciar a esta alternativa de tratamiento en los casos de epilepsia refractaria.
ABSTRACT
The case of a 2-year-old male patient suffering from West syndrome that had been treated with multiple antiepileptic drugs without encouraging results, neither in the seizures, nor in his psychomotor development, which was seriously affected, was reported. A progressive ketogenic diet was established without initial fasting, and it was observed a clinical change in the patient, since ketosis levels were attained and confirmed by the appearance of ketone bodies in urine. The clinical changes consisted in the reduction of the number of daily seizures and their intensity, in the possibility of stopping the use of one of the antiepileptic drugs, and in the increase of the level of sleeplessness of the patient. It was concluded that this treatment alternative should not be rejected in the cases of refractory epilepsy.
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Spasms, Infantile
Limits:
Child, preschool
/
Humans
/
Male
Language:
Es
Journal:
Rev. cuba. pediatr
Journal subject:
PEDIATRIA
Year:
2007
Document type:
Article
Affiliation country:
Mexico