Schiff Y, Lerman-Sagie T
Nutrition and Diet Unit, Tel Aviv Medical Center.
Harefuah. 1998 Apr 1;134(7):529-31, 591.
The ketogenic diet is an accepted alternative for children with intractable generalized or multi-focal seizures not amenable to surgery. It is not commonly used in adults because of the impression that the diet is less effective after childhood, when it is more difficult both to achieve ketosis and to change dietary habits. We present a 20-year-old man with intractable epilepsy since early childhood who is being treated with great success by a medium-chain triglyceride ketogenic diet. It has not only controlled the seizures but has also improved quality of life. We recommend a therapeutic trial of the ketogenic diet in intractable epilepsy for all ages.
生酮饮食是治疗患有难治性全身性或多灶性癫痫且不适于手术的儿童的一种公认的替代疗法。由于人们认为在儿童期之后这种饮食效果较差，且在这个阶段既更难实现酮症状态，也更难改变饮食习惯，所以它在成人中并不常用。我们报告一名自幼儿期起就患有难治性癫痫的20岁男性，他通过中链甘油三酯生酮饮食获得了巨大成功。该饮食不仅控制了癫痫发作，还改善了生活质量。我们建议对所有年龄段的难治性癫痫患者进行生酮饮食的治疗性试验。
