Epilepsy Clinical Trial
Official title:
The Modified Ketogenic Diet for the Treatment of Pharmacoresistant Epilepsy in Adults: an Observational Cohort Study
The Modified Ketogenic Diet for the Treatment of Pharmacoresistant Epilepsy in Adults: an Observational Cohort Study
Epilepsy is a common neurological condition. Unfortunately, just over 30% of patients with
epilepsy (PWE) do not become seizure free with anti-epileptic drugs. Some patients may be
suitable for epilepsy surgery. Alternative established treatments include vagal nerve
stimulation and the ketogenic diet in children. The evidence base for the use of ketogenic
diet in adults is limited. There are a few prospective studies and no randomised control
trial to date.
This study is a prospective observational cohort study for adult patients with drug resistant
epilepsy who are not suitable for resective epilepsy surgery. The intervention is a modified
ketogenic diet. The carbohydrate load will be between 20-30gm per day. Blood ketones and
blood sugars will be monitored. The primary outcome measure is seizure frequency at 12
months. There are a number of secondary outcome measures including tolerability, seizure
severity, quality of life, lipid profiles and health care utilisation.
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