Refractory Epilepsy Clinical Trial
Official title:
The Study of Outpatient Ketogenic Diet on Seizure Rate, Nutritional Status and Some Biochemical Factors in Children and Adolescent With Refractory Epilepsy.
This study will consider the effectiveness of the ketogenic diet (high-fat, low-carbohydrate, and moderate protein) in treating epilepsy. Investigators enroll a group of eligible epileptic children and adolescent who have been referred from epilepsy center to our clinic and prescribe them ketogenic diet.
This research will be done to observe efficacy, safety, and tolerability of the classic
ketogenic diet (CKD) on an outpatient basis without fasting, caloric and fluid restriction
in children with and adolescents with intractable epilepsy.
30 children and adolescents with intractable epilepsy based on inclusion and exclusion
criteria have been enrolled in the study, Investigators prescribe them classic ketogenic
diet. Efficacy of the diet will be assessed through seizure rates, number of anti-epileptic
drug used by the patients, and EEG changes. Seizure frequency will be assessed by seizure
record diary that is filled out by family of the patients and will be compared with data
that will be taken at 1, 3 months after start of the diet. EEG will be taken at baseline and
3 months after start of the diet. Patients will be reviewed at 1, 3 months after start of
the diet at outpatient clinic. Intolerances and Complications will be documented at each
clinic visits and via telephone calling during clinic visits intervals to evaluate
tolerability and safety of the KD. For close monitoring of the complications along with
blood tests and urinalysis Investigators will do echocardiography and renal ultrasound at
baseline and 3 months after start of the diet. Laboratory values will be assessed at
baseline and 3 months after start of the diet. Also, nutritional status and growth of
children will be assessed at baseline and 1, 3 months after start of diet.
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