Ketogenic diet therapy is effective in encephalitis with refractory seizures.

OBJECTIVE AND IMPORTANCE

Although ketogenic diet therapy is effective in refractory seizures in childhood, its effect on adult encephalitis with similar refractory seizures and prolonged encephalopathy has not been well reported.

CLINICAL PRESENTATION

We report here a case of a 22-year-old man with acute encephalitis with refractory repetitive partial seizures (AERRPS).

INTERVENTION

Partial seizures of the face developed to repeated generalized convulsions, which were refractory against anti-epileptic drugs and a high dose of propofol. After struggling for 9 months, he dramatically recovered after ketogenic diet therapy.

CONCLUSION

Ketogenic diet therapy may be an important tool to help cure AERRPS.