[Interest of the ketogenic diet in a refractory status epilepticus in adults].
BACKGROUND
Ketogenic diets have been employed for the treatment of intractable epilepsy in children since 1921, although underlying mechanism remains unknown.


METHODS
We report the case of a 54-year-old man with partial refractory status epilepticus who exhibited a favourable outcome about seven days after introduction of a ketogenic diet in association with antiepileptic drugs.


CONCLUSIONS
Although its efficiency was largely demonstrated in children, little is known about the impact of a ketogenic diet in adults with refractory epilepsy.


CONCLUSIONS
Introduction of a ketogenic diet requires a multidisciplinary approach. Its usefulness in adult intractable epilepsy and/or refractory status epilepticus merits further study into its efficacy in reducing the frequency of seizures and a possible prolonged effect.
Bodenant
M
M
EA 2683, IFR 114, service de neurologie et pathologie du Mouvement, CHRU, 59037 Lille cedex, France.
Moreau
C
C
Sejourné
C
C
Auvin
S
S
Delval
A
A
Cuisset
J-M
JM
Derambure
P
P
Destée
A
A
Defebvre
L
L
D000529:Complementary Therapies; D050528:Diet, Carbohydrate-Restricted; D004569:Electroencephalography; D004734:Energy Metabolism; D006801:Humans; D007659:Ketones / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D013226:Status Epilepticus / Q000178:diet therapy* / Q000503:physiopathology
D007659:Ketones