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生酮饮食治疗亚急性硬化性全脑炎1例的临床及磁共振研究

Clinical and magnetic resonance study of a case of subacute sclerosing panencephalitis treated with ketogenic diet.

作者信息

Valente Mariarosaria, Del Negro Ilaria, Bagatto Daniele, Garbo Riccardo, Lettieri Christian, Bernardini Andrea, Nilo Annacarmen, Peri Maria Rosaria, Pecori Davide, Gigli Gian Luigi

机构信息

Department of Neuroscience, Azienda Sanitaria Universitaria Friuli Centrale, University Hospital, Clinical Neurology Unit, Udine, Italy.

Department of Medicine (DAME), University of Udine, Udine, Italy.

出版信息

BMJ Neurol Open. 2021 Jul 23;3(2):e000176. doi: 10.1136/bmjno-2021-000176. eCollection 2021.

Abstract

BACKGROUND

Subacute sclerosing panencephalitis is a progressive neurodegenerative disorder caused by a latent and mutant measles virus which is extremely rare in developed countries. The lack of effective treatments leads to the research of other anti-inflammatory and neuroprotective treatments.

CASE

Here we present a case of a 17-year-old patient affected by subacute sclerosing panencephalitis who manifest a dramatic improvement in neurological and general clinical conditions, as well as an arrest in the progression of demyelinating process in the central nervous system, after the beginning of a high ratio ketogenic diet.

CONCLUSIONS

Given its anti-inflammatory, antioxidant and metabolic effects, we believe that ketogenic diet utilisation could be a rational approach, can be considered a safe add-on therapy, carrying on with only a minimal risk of adverse effects or interactions.

摘要

背景

亚急性硬化性全脑炎是一种由潜伏性突变麻疹病毒引起的进行性神经退行性疾病,在发达国家极为罕见。由于缺乏有效治疗方法,因此对其他抗炎和神经保护治疗展开了研究。

病例

在此,我们报告一名17岁亚急性硬化性全脑炎患者的病例。该患者在开始高比例生酮饮食后,神经和总体临床状况显著改善,中枢神经系统脱髓鞘进程停止。

结论

鉴于生酮饮食具有抗炎、抗氧化和代谢作用,我们认为使用生酮饮食可能是一种合理的方法,可被视为一种安全的附加疗法,不良反应或相互作用风险极小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ab/8313867/10f92ee70917/bmjno-2021-000176f01.jpg

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