title: Home-guided use of the ketogenic diet in a patient for more than 20 years.
abstract: A 26-year-old man with tuberous sclerosis complex and multifocal seizures presented to the ketogenic diet clinic for management of his epilepsy. He had been started on the ketogenic diet at another institution at age 6 years, and his family had managed all nutritional aspects for the previous 10 years. Despite the lack of ongoing medical care, excellent seizure control and large urinary ketosis had been maintained, and side effects were limited only to poor growth. He remains on the diet to date, now for 21 years of continuous duration.
authors.affiliation: John M Freeman Pediatric Epilepsy Center, Departments of Neurology and Pediatrics, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. ekossoff@jhmi.edu
authors.forename: Eric H
authors.initials: EH
authors.lastname: Kossoff
authors.forename: Zahava
authors.initials: Z
authors.lastname: Turner
authors.forename: Gregory K
authors.initials: GK
authors.lastname: Bergey
mesh_terms: D000328:Adult; D050528:Diet, Carbohydrate-Restricted / Q000009:adverse effects / Q000379:methods*; D004041:Dietary Fats / Q000008:administration & dosage*; D004827:Epilepsy / Q000178:diet therapy*; D006801:Humans; D007659:Ketones / Q000652:urine*; D008297:Male; D013997:Time Factors; D014402:Tuberous Sclerosis / Q000178:diet therapy*
chemical_list: D004041:Dietary Fats; D007659:Ketones