EPILEPSIA Y DIETA CETOGENICA PDF

Background. Ketogenic diets (KDs), being high in fat and low in carbohydrates, have been suggested to reduce seizure frequency in people with epilepsy. Publisher: Actualizacion sobre los efectos adversos durante la terapia con dieta cetogenica en la epilepsia refractaria uccion. Publisher: Efectividad de la dieta cetogenica en niños con epilepsia refractaria: revision uccion. La epilepsia es una patologia.

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Existe evidencia moderada de que la dieta cetogenica clasica en comparacion con la dieta gradual 2,5: Services on Demand Journal. Some adverse effects are difficult to interpret and may manifest due to involvement at different levels of the organism, thereby arousing doubts as to whether they are caused by the diet, the antiepileptic medication or by the patient’s own intercurrent complications. How to cite this article. Se describen los efectos adversos mas frecuentes que se presentan en forma aguda o tardiamente, y se brindan herramientas para su manejo y prevencion durante el tratamiento para pediatras y equipos de dieta cetogenica.

Se obtuvieron seis articulos que cumplian con los criterios de elegibilidad.

Dieta Cetogénica, Conceptos básicos // International League Against Epilepsy

The search strategy included randomized controlled trials and controlled clinical trials. This review aimed to investigate the relationship cdtogenica oxidative stress and epilepsy, highlighting the effect of the ketogenic diet under experimental conditions.

There is also moderate evidence that classical ketogenic diet compared to the gradual diet 2. Se realiza una sintesis de la evidencia a traves de una revision sistematica de ensayos clinicos aleatorizados que hayan comparado una dieta cetogenica sola con otros tipos de dieta para el tratamiento de estos pacientes.

The ketogenic diet is a non-pharmacological treatment that has been used as a therapeutic alternative for the management of refractory epilepsy since Las bases de datos usadas fueron: There is moderate evidence that classical ketogenic diet compared to Atkins diet is more effective in reducing the frequency of seizure.

La dieta cetogenica es una terapia no farmacologica que se ha usado como alternativa para el tratamiento de la epilepsia refractaria desde Algunos efectos adversos son de dificil interpretacion, y pueden ser manifestacion por afectacion a diferentes niveles del organismo, poniendo en duda si son secundarios a la dieta, a la medicacion antiepileptica o a intercurrencias del propio paciente.

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[Effectiveness of a ketogenic diet in children with refractory epilepsy: a systematic review].

Epilepsy is a brain disorder that affects both children and adults. La decision de aplicar este tipo de dietas tambien debe basarse en costes, preferencias y seguridad del rpilepsia.

An important relationship exists between free radicals and antioxidant enzymes in epileptic phenomena and reactive oxygen species ROS have been implicated in neurodegeneration induced by crises. It is a nutrition plan that is imbalanced in terms of both macro- and micro-nutrients, which can give rise to nutritional deficits in energy, proteins, minerals and vitamins, as well as an excess of lipids.

Determinar la efectividad de la dieta cetogenica en la disminucion de los episodios de convulsiones en pacientes con epilepsia refractaria. The decision to apply this type of diet should also be based on costs, preferences and safety of treatment. To determine the effectiveness of the ketogenic diet in reducing episodes of seizures in patients with refractory epilepsy. Garrahan, Buenos Aires, Argentina.

Dietary therapy has been used, such as the ketogenic diet KDwhich is rich in fat and low in carbohydrates and used by more than eight decades for the treatment of refractory epilepsy, especially in children.

The most frequent adverse effects that may occur either in acute form or in later stages are described, and tools that can be used in their management and prevention during treatment are proposed for paediatricians and ketogenic diet teams. Se trata de un plan alimentario desequilibrado tanto en macro como en micronutrientes, que puede causar deficits nutricionales en energia, proteinas, minerales y vitaminas, y exceso de lipidos, con riesgo de ocasionar efectos secundarios no deseados tanto en el inicio del tratamiento como de forma tardia.

Ademas, debe considerarse la probabilidad de que algunos estudios, por problemas de indizacion, hayan quedado fuera de la revision. Actualizacion sobre los efectos adversos durante la terapia con dieta cetogenica en la epilepsia refractaria pediatrica. Es importante seguir el protocolo de frecuencia de estudios y evaluaciones para detectar y prevenir estos efectos, y consultar a centros de referencia evaluando el coste-beneficio de continuar o no el tratamiento.

Six articles that met our elegibility criteria.

Epilepsy is a neurological disorder more epliepsia, being defined as a condition of spontaneous recurrent seizures. Existe evidencia limitada de que la dieta cetogenica en comparacion con la dieta de trigliceridos de cadena media es mas efectiva en disminuir la frecuencia de las convulsiones.

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All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Evidence of activity of KD in mitochondrial dysfunction, as epilepsy, are many and clearly demonstrate the beneficial effects of the therapy.

It is important to follow the study and evaluation frequency protocol in order to detect and prevent these effects, as well as to consult reference centres in order to evaluate the cost-benefit of continuing the treatment or not. From the s the ketogenic diet has gained prestige as another treatment option for patients with refractory epilepsy.

There is therefore a risk of it causing undesirable side effects both at the outset and in later stages of the treatment. The KD modulates mitochondrial bioenergetic, decreases the formation of ROS, increases the antioxidant capacity and also prevents changes in mitochondrial DNA.

Dieta Cetogénica, Conceptos básicos

A summary of the evidence will be made through a systematic review of randomized clinical trials that have compared a single ketogenic diet cetogenjca other diet for the management of these patients. The role of the ketogenic diet on oxidative stress present in experimental epilepsy.

The keywords selected for the study included epilepsy, status epilepticus, pilocarpine, oxidative stress, reactive oxygen species, mitochondrial dysfunction.

It should also take into account the likelihood that studies have indexing problems have been left out of the review. La estrategia de busqueda incluyo ensayos clinicos aleatorizados y ensayos clinicos controlados.

There is limited evidence that the ketogenic diet compared to the medium-chain triglyceride diet is more effective in reducing the frequency of seizures. Existe evidencia moderada de que la dieta cetogenica clasica en comparacion con la dieta Atkins es mas efectiva para disminuir la frecuencia de convulsiones en tres meses.