Ketogenic dietary therapies in adults with epilepsy: a practical guide

  title={Ketogenic dietary therapies in adults with epilepsy: a practical guide},
  author={Natasha E Schoeler and Judith Helen Cross},
  journal={Practical Neurology},
  pages={208 - 214}
Ketogenic dietary therapies are an effective treatment option for children with drug-resistant epilepsy. There is an increasing worldwide interest in using these diets to manage adult epilepsy; uncontrolled studies show similar response rates to those in children. Despite this, there are only a few centres with dedicated services for adults. We clearly need controlled studies of this treatment in adults. Here, we aim to familiarise adult neurologists with the evidence base for these diets and… 

Ketogenic Diet Therapies in Children and Adults with Epilepsy

  • M. Phillips
  • Medicine, Psychology
    Epilepsy - Advances in Diagnosis and Therapy
  • 2019
The most conspicuous challenge to the more widespread use of ketogenic diets in children and adults with epilepsy is a lack of access to ketogenic services in many regions of the world.

The role for ketogenic diets in epilepsy and status epilepticus in adults

Ketogenic Diets for Adults with Highly Refractory Epilepsy

The current review highlights the evidence supporting the use of ketogenic diets in the management of drug-resistant epilepsy and status epilepticus in adults. Ketogenic diet variants are compared

The Expanding Role of Ketogenic Diets in Adult Neurological Disorders

The current review highlights the evidence supporting the use of ketogenic diet therapies in the management of adult epilepsy, adult malignant glioma and Alzheimer’s disease. An overview of the

The changing face of dietary therapy for epilepsy

The aim of this review is to revisit ketogenic diet effectiveness and safety in order to highlight its importance in drug-resistant epilepsy and other neurological disorders.

Diet in the Treatment of Epilepsy: What We Know So Far

It is believed that a better knowledge of the cellular and molecular biochemical processes behind the anticonvulsant effects of alimentary therapies may lead to the development of personalized dietary intervention protocols.

Methodological Approaches to Ketogenic Dietary Treatments in Glioma Patients from a Nutritional Point of View

A standardized definition of KD for patients with glioma and a consensus on methodological implementation are needed as well as to what extent KD treatment can be optimized to secure optimal nutrient status and patient satisfaction.

Ketogenic diet in epilepsy: an updated review

The present review paper aims to present the current state of knowledge regarding the effectiveness of the KD, its mechanism of action, indications, method of treatment and potential adverse effects, using relevant most recent papers using PubMed and Medline databases.

Тopical questions of nutrition in neurological practice

Diet therapy can make a significant contribution to the comprehensive treatment of neurological disorders. The high frequency of malnutrition among patients with neurological profile requires timely

Implementation of Ketogenic Diet Therapy in Refractory Epilepsies

The Ketogenic Diet has been used in treatment of epilepsy in mainland China since 2004 and extensive experience has confirmed that it is safe in clinical practice.



Dietary treatment of epilepsy: practical implementation of ketogenic therapy.

Dietary treatments for epilepsy include the traditional ketogenic diets but also the newer modified Atkins diet and low glycaemic index treatment.

Worldwide Dietary Therapies for Adults With Epilepsy and Other Disorders

The session provided evidence that dietary therapies are safe and effective in adults and demonstrated not only in patients with epilepsy but also patients with propriospinal myoclonus, astrocytoma, type 2 diabetes, obesity, hyperlipidemia, and metabolic disorder.

Dietary treatment in adults with refractory epilepsy

KD and MAD treatment of refractory epilepsy in adults show modest efficacy, although in some patients the effect is remarkable, and the diets are well-tolerated, but often discontinued because of their restrictiveness.

Efficacy and tolerability of the Modified Atkins Diet in adults with pharmacoresistant epilepsy: A prospective observational study

Purpose:  Evidence from the pediatric population exists for the efficacy of ketogenic diets in reducing seizure frequency in patients with intractable epilepsy. Recent evidence suggests that a


The three ketogenic diets were shown to be effective in the short‐term management of children whose epilepsy is poorly controlled with anticonvulsant drugs.

Achieving and maintaining compliance with the ketogenic diet.

A stimulus-choice procedure and a multielement analysis showed that both treatments increased dietary compliance and were associated with a 40% reduction in seizures in a 15-year-old girl with uncontrolled epilepsy.