難治性てんかん症患者 (幼児) のケトン食療法の一症例

抄録

A ketogenic diet therapy has been conducted in addition to usual drug treatment. The subject was an infant who had suffered from an intractable epilepsy with frequent epileptic spasm and had undergone medical therapy by the use of an anticonvulsive for several months without showing any successful effect.
The ketogenic diet therapy resulted in a considerable success and the patient could leave the hospital to take the home diet after 6 months' hospital treatment.
The program of the ketogenic diet was: “the 4: 1 ratio diet” for 2 years, “the 3:1 ratio diet” for 6 months, “the 2:1 ratio diet” for 6 months and then ordinary foods. However, “the 4:1 ratio diet” which was originally intended for the initial 2 year period has been replaced by “the 3:1 ratio diet” since last November after only 1 year's continuation due to the favorable result of the diet.
In order to continue the ketogenic diet for a long period the daily menu should give avariety to the diet at all times. Therefore, an example of a food table suitable for easy menu-making for the home diet as well as for the hospital use has been introduced. By using this table, it is very easy to prepare a day's menu which conforms to the specified standard in respect to daily amounts of total calories, protein, fat and carbohydrates.
*“The 4: 1 ratio diet” means that, in the diet, the ratio of fat (ketogenic materials) to the sum of carbohydrates and protein (antiketogenic materials) is approximately 4:1 by weight.