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Ketogenic diet: an early option for epilepsy treatment, instead of a last choice only.
[pyruvate dehydrogenase deficiency]
Ketogenic
diet
(
KD
)
was
usually
tried
as
a
last
resort
in
the
treatment
of
intractable
epilepsy
after
failure
of
many
antiepileptics
and
even
epilepsy
surgery
.
Glucose
transporter-
1
deficiency
and
pyruvate
dehydrogenase
deficiency
must
be
treated
with
KD
as
the
first
choice
because
of
inborn
errors
of
glucose
metabolism
.
Infantile
spasms
,
tuberous
sclerosis
complex
,
Rett
syndrome
,
Doose
syndrome
,
Dravet
syndrome
,
etc
.
,
appear
to
respond
to
KD
,
and
it
has
been
suggested
by
the
international
consensus
statement
to
use
KD
early
.
We
believe
that
all
patients
with
epilepsy
,
except
those
with
contraindicated
situations
such
as
pyruvate
carboxylase
deficiency
,
porphyria
,
β-oxidation
defects
,
primary
carnitine
deficiency
,
etc
.
,
may
try
KD
before
trying
other
regimens
.
Diseases
Validation
Diseases presenting
"epilepsy"
symptom
22q11.2 deletion syndrome
adrenomyeloneuropathy
alexander disease
canavan disease
classical phenylketonuria
cohen syndrome
cowden syndrome
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
kabuki syndrome
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
pendred syndrome
phenylketonuria
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated