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The risk of hypoglycemia and the ketogenic diet for super-refractory status epilepticus patients

  • Klára Brožová
    Affiliations
    Department of Neurology and Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic

    Department of Pediatric Neurology, Thomayer's Hospital, Prague, Czech Republic
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  • Jan Brož
    Correspondence
    Corresponding author at: Dep. of Int. Med., Charles University 2nd Faculty of Medicine, V Úvalu 84, 15000 Prague, Czech Republic.
    Affiliations
    Department of Internal Medicine, Second Faculty of Medicine, Charles University, Prague, Czech Republic
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Published:February 22, 2019DOI:https://doi.org/10.1016/j.braindev.2019.02.008
      We read with interest the review article by Park et al. “The ketogenic diet for super-refractory status epilepticus patients in intensive care units” published online in the Brain & Development [
      • Park E.G.
      • Lee J.
      • Lee J.
      The ketogenic diet for super-refractory status epilepticus patients in intensive care units.
      ]. The authors retrospectively reviewed the medical records of 16 children with super-refractory status epilepticus (SRSE), who were treated with the ketogenic diet (KD) in the intensive care unit of the hospital. The authors concluded that their experience indicates that the KD is an effective alternative therapeutic strategy for SRSE patients in ICUs with adequate efficacy and safety in reducing seizure frequency. Although we agree with most of the authors’ experience we would like to put one question.

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