Dietary Treatment of Epilepsy
Practical Implementation of Ketogenic Therapy
Erschienen am 3. Juli 2012
256 Seiten
978-1-118-34546-7 (ISBN)
Beschreibung
Epilepsy is a common chronic neurological disorder characterisedby recurrent unprovoked seizures, and affects 50 million peopleworldwide. Approximately 30% of these do not have seizure controleven with the best available medications, hence renewed andincreasing interest in the use of dietary treatments to treatepilepsy. These treatments include the traditional ketogenic dietsbut also the newer modified Atkins diet and low glycaemic indextreatment.
The ketogenic diet is a high-fat, adequate-protein,low-carbohydrate diet that in medicine is used primarily to treatrefractory epilepsy in children, and requires the dedicated supportof a multi-disciplinary team including doctors anddietitians. Dietary Treatment of Epilepsy: PracticalImplementation of Ketogenic Therapy provides comprehensive andpractical training on all aspects of implementing and managingdietary treatments for epilepsy, with key chapters on assessment,calculations, implementation, monitoring and complications.
Edited by a highly respected expert in the field supportedby a strong team of contributors, this is a must-have resource forpaediatric dietitians and other members of the therapy team.
Weitere Details
Weitere Ausgaben
Person
Elizabeth Neal has both clinical and research experiencein the dietary treatment of epilepsy, with a PhD in ketogenicdiets. She is based at the Institute of Child Health in London, andMatthew's Friends charity and clinics.
Inhalt
Contributors vii
Foreword ix
A personal note x
Section 1 Introduction and Overview 1
1 Introduction to the ketogenic diet and other dietarytreatments 3
Elizabeth Neal
2 Epilepsy and epileptic seizures 11
J. Helen Cross
3 Treatment options in the paediatric epilepsy clinic 19
Ruth E. Williams
4 Efficacy of ketogenic dietary therapy: what is the evidence?24
Eric H. Kossoff
5 The biochemical basis of dietary therapies for neurologicaldisorders 34
Adam L. Hartman and Jong M. Rho
Section 2 Clinical Implementation 45
6 Preparing for dietary treatment 47
Georgiana Fitzsimmons
7 The challenge of therapeutic diets in children withpre-existing feeding problems 58
Bridget Lambert and Mary-Anne Leung
8 The classical ketogenic diet 66
Gwyneth Magrath and Elizabeth Neal
9 The medium-chain triglyceride ketogenic diet 78
Elizabeth Neal
10 The modified Atkins diet 89
Gwyneth Magrath, Mary-Anne Leung and Tara Randall
11 The Low Glycaemic Index Treatment 100
Heidi H. Pfeifer
12 Managing dietary treatment: further dietetic issues 109
Jan Chapple
13 Managing dietary treatment: a parent's perspective116
Emma Williams
14 Enteral feeding 124
Jan Chapple
15 Dietary initiation 131
Jan Chapple
16 Ketone monitoring and management of illness 135
Hannah Chaffe
17 Fine tuning 142
Gwyneth Magrath
18 Monitoring and side effects 149
Elizabeth Neal
19 Dietary treatments and bone health 159
Christina Bergqvist
20 Carnitine 166
Elizabeth Neal
21 Switching or discontinuing dietary treatment 172
Bridget Lambert
Section 3 Broader Applications 179
22 Dietary treatment of epilepsy in infants 181
Nicole Dos Santos
23 Dietary treatment of epilepsy in adults 189
Susan Wood
24 Ketogenic dietary therapy in India 198
Janak Nathan
25 Ketogenic dietary therapy in East Asia 206
Hoon-Chul Kang and Heung Dong Kim
26 Ketogenic dietary therapy in Africa 215
Tuscha Du Toit
27 Ketogenic dietary therapy in neurometabolic disease 220
Joerg Klepper
28 Beyond epilepsy: ketogenic diet use in other disease states225
Adam L. Hartman and Jong M. Rho
Afterword 232
Appendix 234
Index 235
