Comparison of Seizure Reduction and Serum Fatty Acid Levels After Receiving the Ketogenic and Modified Atkins Diet

Authors compared retrospectively the KD and modified Atkins diet in 27 children and also assessed serum long chain fatty acid profiles. We observed a preventive effect of both diets on the occurrence of status epilepticus. After 1 and 3 months of either diet, responders experienced a significant decrease in serum arachidonic acid concentration compared to non-responders. The KD and modified Atkins diet led to seizure reduction in this small pilot series, with slightly better results after 3 months with the KD, but not after 6 months.

Modified Atkins Diet for the Treatment of Nonconvulsive Status Epilepticus in Children

The authors describe the use of a modified Atkins diet for the treatment of 2 children with nonconvulsive status epilepticus. The nonconvulsive status epilepticus disappeared 5 and 10 days after the initiation of the diet treatment, respectively. They have been on the diet treatment and free from nonconvulsive status epilepticus for 19 and 4 months, respectively. The modified Atkins diet appears to be very effective for the treatment of nonconvulsive status epilepticus.

Efficacy of dietary therapy for juvenile myoclonic epilepsy

The modified Atkins diet was an efficacious adjunctive therapy for young adults with very medically resistant Juvenile Myoclonic Epilepsy. After 1 month, 6 (75%) patients had >50% seizure reduction, and after 3 months, 5 (63%) patients had >50% improvement.

Efficacy and Tolerability of Modified Atkins Diet in Japanese Children With Medication-Resistant Epilepsy

Seven Japanese patients aged 1.5–17 years with medication-resistant epilepsy were placed on the modified Atkins diet (MAD) for 3 weeks during admission to our hospital. Dietary carbohydrate was restricted to 10 g per day. Among the patients who could continue the diet for 3 weeks, 3 achieved the seizure reduction; 2 became seizure-free and 1 showed about 75% reduction in the seizure frequency within 10 days on the diet. The MAD was effective and well-tolerated in children with medication-resistant epilepsy in Japan.

Dietary Therapies for Epilepsy

The two major nonpharmacologic treatments for patients with epilepsy are neurostimulation devices (e.g. vagus nerve stimulators) and dietary treatments (ketogenic). In this review, we will cover the latter treatments, namely, using diets.