Design of dietary treatment: humans versus rodents.

Abstract:

:Ketogenic diets (KDs) are designed to create the metabolic conditions of fasting, which was among the earliest therapies discovered for epilepsy. The major measures used to evaluate dietary effectiveness have been the levels of urinary ketone bodies and the successful reduction of seizure activity. Modifications of the "classical" animal fat KD have been used in an attempt to boost ketonuria or ketonemia, increase palatability and compliance, and reduce side effects. Studies of KDs in experimental animals have been largely confined to rodents (mice and rats) for reasons of cost and convenience, and both have been found to be protected against experimentally induced seizures following consumption of KDs. Most of these studies have been designed to test hypotheses about the mechanism(s) by which reductions in carbohydrate or increases in fat result in elevated seizure threshold, decreased seizure duration, and decreased seizure severity. So far, underlying mechanisms have proven elusive. Rodent studies have led to a degree of general agreement that ketone levels per se do not correlate well with seizure protection, that reduction of glucose levels is fundamentally important, and that calorie restriction is additive to high fat diets in providing seizure protection.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Eagles DA

doi

10.1111/j.1528-1167.2008.01837.x

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

61-3

eissn

0013-9580

issn

1528-1167

pii

EPI1837

journal_volume

49 Suppl 8

pub_type

杂志文章,评审
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    journal_title:Epilepsia

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    doi:10.1111/j.1528-1157.1987.tb05757.x

    authors: Mizrahi EM

    更新日期:1987-01-01 00:00:00

  • Isovaline, a rare amino acid, has anticonvulsant properties in two in vitro hippocampal seizure models by increasing interneuronal activity.

    abstract:PURPOSE:We investigated whether RS-isovaline, a unique amino acid found in carbonaceous meteorites and presumed extraterrestrial, has anticonvulsant properties in rat hippocampal slices in vitro. METHODS:Extracellular recordings were obtained in the rat hippocampal CA1 pyramidal layer in two in vitro seizure models: p...

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    doi:10.1111/j.1528-1167.2011.03260.x

    authors: Shin DS,Yu W,Sutton A,Calos M,Puil E,Carlen PL

    更新日期:2011-11-01 00:00:00

  • Neuropsychological effect of temporal lobe resection in preadolescent children with epilepsy.

    abstract:PURPOSE:Numerous studies have demonstrated changes in cognitive, memory, and language functioning in adults and adolescents after temporal lobectomy, yet little information is available regarding neuropsychological outcome in preadolescent children. METHODS:We studied pre- and postoperative neuropsychological test res...

    journal_title:Epilepsia

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    doi:10.1111/j.1528-1157.1998.tb01174.x

    authors: Szabó CA,Wyllie E,Stanford LD,Geckler C,Kotagal P,Comair YG,Thornton AE

    更新日期:1998-08-01 00:00:00

  • Parenteral penicillin in rats: an experimental model of multifocal epilepsy.

    abstract::Parenterally injected penicillin in rats induces a peculiar pattern of multifocal epilepsy. The effective amount is higher than that required in cats. The epileptiform activity initially appears on the cortical mantle of one hemisphere; after a variable delay, contralateral cortical spikes arise in a completely asynch...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1976.tb03399.x

    authors: Fariello RG

    更新日期:1976-06-01 00:00:00

  • The role of hippocampal sclerosis in topiramate-related depression and cognitive deficits in people with epilepsy.

    abstract:PURPOSE:To clarify the role of hippocampal sclerosis (HS) in developing psychiatric and cognitive adverse events during therapy with topiramate (TPM) in patients with temporal lobe epilepsy (TLE). METHODS:We analyzed the data of 70 patients with TLE and HS and 128 patients with cryptogenic TLE matched for age, sex, st...

    journal_title:Epilepsia

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    doi:10.1111/j.0013-9580.2003.19103.x

    authors: Mula M,Trimble MR,Sander JW

    更新日期:2003-12-01 00:00:00

  • Comprehensive care of the epilepsy patient--control, comorbidity, and cost.

    abstract::Traditionally, control of seizures in patients with epilepsy is viewed as the most important clinical outcome. Yet, current antiepileptic drugs (AEDs) do not always achieve this. Around 30-40% of patients remain uncontrolled despite pharmacological intervention. Poor tolerability of AEDs is a large part of the problem...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.0013-9580.2004.455002.x

    authors: Bazil CW

    更新日期:2004-01-01 00:00:00

  • Short-term plasticity of hippocampal neuropeptides and neuronal circuitry in experimental status epilepticus.

    abstract:PURPOSE:We used a model of self-staining status epilepticus (SSSE), induced by brief intermittent stimulation of the perforant path in unanesthetized rats, to study the mechanism of initiation and of maintenance of SSSE and the role of neuropeptides in those processes. METHODS:The perforant path was stimulated intermi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.43.s.5.1.x

    authors: Wasterlain CG,Mazarati AM,Naylor D,Niquet J,Liu H,Suchomelova L,Baldwin R,Katsumori H,Shirasaka Y,Shin D,Sankar R

    更新日期:2002-01-01 00:00:00

  • Nonconvulsive status epilepticus in a neurological intensive care unit: profile in a developing country.

    abstract:PURPOSE:Nonconvulsive status epilepticus (NCSE) is an under-recognized cause of altered mental status. There are hardly any reported data on NCSE in developing countries. MATERIAL AND METHODS:Prospectively 210 consecutive patients with altered mental status admitted to neurological intensive care unit (NICU) of a tert...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01099.x

    authors: Narayanan JT,Murthy JM

    更新日期:2007-05-01 00:00:00

  • Effect of sustained pyridoxine treatment on seizure susceptibility and regional brain amino acid levels in genetically epilepsy-prone BALB/c mice.

    abstract::Epilepsy-prone and epilepsy-resistant substrains were selectively bred from a strain of BALB/c mice; audiogenic-sensitive epilepsy-prone animals showed enhanced sensitivity to chemical convulsants. Treatment with pyridoxine (100 mg/L in drinking water) initiated at mating and continued throughout pregnancy and the lif...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02373.x

    authors: Dolina S,Peeling J,Sutherland G,Pillay N,Greenberg A

    更新日期:1993-01-01 00:00:00

  • Bilateral hippocampal atrophy in medial temporal lobe epilepsy.

    abstract::Quantitative evidence of hippocampal atrophy has been correlated with site of seizure onset, hippocampal neuronal loss, and seizure relief after resection. Most studies have quantified hippocampal atrophy using ratios or differences between right and left hippocampal values. However, bilateral hippocampal atrophy may ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01634.x

    authors: King D,Spencer SS,McCarthy G,Luby M,Spencer DD

    更新日期:1995-09-01 00:00:00

  • Unconsciousness, automatisms, and myoclonic jerks with diffuse rhythmic 9-Hz discharges.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb06081.x

    authors: Nadel A,Waddell G,Volow M,Escueta AV

    更新日期:1975-09-01 00:00:00

  • Nocturnal seizures are associated with more severe hypoxemia and increased risk of postictal generalized EEG suppression.

    abstract::Patients with epilepsy have 20-fold risk of sudden death when compared to the general population. Uncontrolled seizures is the most consistent risk factor, and death often occurs at night or in relation to sleep. We examined seizure-related respiratory disturbances in sleep versus wakefulness, focusing on periictal ox...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13841

    authors: Latreille V,Abdennadher M,Dworetzky BA,Ramel J,White D,Katz E,Zarowski M,Kothare S,Pavlova M

    更新日期:2017-09-01 00:00:00

  • Seizure expression, behavior, and brain morphology differences in colonies of Genetic Absence Epilepsy Rats from Strasbourg.

    abstract:OBJECTIVE:Originally derived from a Wistar rat strain, a proportion of which displayed spontaneous absence-type seizures, Genetic Absence Epilepsy Rats from Strasbourg (GAERS) represent the most widely utilized animal model of genetic generalized epilepsy. Here we compare the seizure, behavioral, and brain morphometric...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12840

    authors: Powell KL,Tang H,Ng C,Guillemain I,Dieuset G,Dezsi G,Çarçak N,Onat F,Martin B,O'Brien TJ,Depaulis A,Jones NC

    更新日期:2014-12-01 00:00:00

  • Stress sensitivity of childhood epilepsy is related to experienced negative life events.

    abstract:PURPOSE:To evaluate the effect of stress on seizure frequency in childhood epilepsy, and to assess possible differences between children in whom seizures are precipitated by stress and those in whom they are not. METHODS:Parents or caregivers of children with active epilepsy (aged 2-16 years) were sent questionnaires ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03566.x

    authors: van Campen JS,Jansen FE,Steinbusch LC,Joëls M,Braun KP

    更新日期:2012-09-01 00:00:00

  • Good outcome is possible after months of refractory convulsive status epilepticus: lesson learned.

    abstract::Determining a prognosis for functional recovery after prolonged status epilepticus can be difficult. Prior case studies have shown that despite seizure control, functional outcomes are typically poor unless a reversible cause is identified. Herein we present a case of idiopathic status epilepticus with a surprisingly ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03327.x

    authors: Standley K,Abdulmassih R,Benbadis S

    更新日期:2012-01-01 00:00:00

  • Transient improvement after brief antiepileptic drug withdrawal in the epilepsy monitoring unit--possible relationship to AED tolerance.

    abstract:PURPOSE:A drug holiday seems to produce seizure interval prolongation (SIP) after reinstitution of antiepileptic drugs (AEDs). This effect was demonstrated mainly with carbamazepine. We evaluated SIP with newer AEDs and tested the relationship of SIP to history of AED tolerance. METHODS:We prospectively studied patien...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02494.x

    authors: Azar NJ,Lagrange AH,Wang L,Song Y,Abou-Khalil BW

    更新日期:2010-05-01 00:00:00

  • Serum sex hormones are altered in patients with chronic temporal lobe epilepsy receiving anticonvulsant medication.

    abstract:PURPOSE:To evaluate the changes in serum sex hormones of gonadal or adrenal origin, the gonadotropic hormones, and sex hormone-binding globulin (SHBG) in men and women with chronic temporal lobe epilepsy (TLE), who are undergoing monotherapy with carbamazepine or receiving carbamazepine in combination with other antico...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01307.x

    authors: Stoffel-Wagner B,Bauer J,Flügel D,Brennemann W,Klingmüller D,Elger CE

    更新日期:1998-11-01 00:00:00

  • Developmental patterns of postictal refractoriness and potentiation akin to cortical stimulation.

    abstract::Postictal refractoriness checked by paired stimulations of the limbic structures was demonstrated to fail in rats<2 weeks old. Cortical epileptic afterdischarges were used in our study to examine if this phenomenon is restricted to old cortical structures or if it is a general one. Rats 12, 15, 18, 25, and 90 days old...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12870

    authors: Mareš P,Kubová H

    更新日期:2015-01-01 00:00:00

  • Health-related quality of life of people with epilepsy compared with a general reference population: a Tunisian study.

    abstract:PURPOSE:The goal of the study was to assess the health-related quality of life (HRQOL) of persons with epilepsy (PWE) by using the short form survey 36 (SF-36), to compare it with that of a control group and to detect factors influencing it. METHODS:We collected clinical and demographic data and information on health ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.56903.x

    authors: Mrabet H,Mrabet A,Zouari B,Ghachem R

    更新日期:2004-07-01 00:00:00

  • Prognosis of epilepsy in newly referred patients: a multicenter prospective study. Collaborative Group for the Study of Epilepsy.

    abstract::A multicenter prospective study was initiated at the time of first antiepileptic treatment for afebrile seizures with 283 unselected patients in Italy. Each patient started with monotherapy at standard daily doses. Data were collected at admission, at scheduled 6-month exams, and at unscheduled exams and included age,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03712.x

    authors: Beghi E,Tognoni G

    更新日期:1988-05-01 00:00:00

  • Laser interstitial thermal therapy: A first line treatment for seizures due to hypothalamic hamartoma?

    abstract::Successful treatment of hypothalamic hamartoma (HH) can result in the resolution of its sequelae including epilepsy and rage attacks. Risks and morbidity of open surgical management of this lesion have motivated the development of laser interstitial thermal therapy (LITT) as a less invasive treatment approach to the d...

    journal_title:Epilepsia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/epi.13751

    authors: Du VX,Gandhi SV,Rekate HL,Mehta AD

    更新日期:2017-06-01 00:00:00

  • Anticonvulsant 1-phenylcycloalkylamines: two analogues with low motor toxicity when orally administered.

    abstract::1-Phenylcyclohexylamine (PCA) and its analogues 1-phenylcyclopentylamine (PPA) and 1-(3-fluorophenyl)cyclohexylamine (3-F-PCA) are potent anticonvulsants in the mouse maximal electroshock (MES) seizure test. Unlike the structurally related dissociative anesthetic phencyclidine (PCP), however, which produces motor toxi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02305.x

    authors: Blake PA,Yamaguchi S,Thurkauf A,Rogawski MA

    更新日期:1992-01-01 00:00:00

  • Hemispheric surgery in children with refractory epilepsy: seizure outcome, complications, and adaptive function.

    abstract:PURPOSE:To describe seizure control, complications, adaptive function and language skills following hemispheric surgery for epilepsy. METHODS:Retrospective chart review of patients who underwent hemispheric surgery from July 1993 to June 2004 with a minimum follow-up of 12 months. RESULTS:The study population compris...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00909.x

    authors: Basheer SN,Connolly MB,Lautzenhiser A,Sherman EM,Hendson G,Steinbok P

    更新日期:2007-01-01 00:00:00

  • Benzodiazepine receptors and their relationship to the treatment of epilepsy.

    abstract::Benzodiazepines (BDZ) interact with components of neuronal membranes to modify excitability in three different ways. Action at a high affinity central receptor (dissociation constant, KD, of 3 nM) linked to the GABAA recognition site enhances the inhibitory action of GABA by increasing the number of openings of Cl- ch...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb05731.x

    authors: Meldrum BS,Chapman AG

    更新日期:1986-01-01 00:00:00

  • Methodologic issues in studies of mortality following epilepsy: measures, types of studies, sources of cases, cohort effects, and competing risks.

    abstract::This paper addresses methodologic issues in studies of mortality, and the impact of these issues in studies of mortality in epilepsy. One important issue is to identify the question: Is it whether epilepsy increases the risk of dying? Or is it whether the underlying condition that led to epilepsy, itself associated wi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2005.00399.x

    authors: Logroscino G,Hesdorffer DC

    更新日期:2005-01-01 00:00:00

  • Rapid switchover to carbamazepine using pharmacokinetic parameters.

    abstract:PURPOSE:The standard practice of switching patients to carbamazepine (CBZ) involves initiating a low dose and raising it by small increments until the desired dose is reached, to avoid intolerable adverse effects (AE). In a pilot study, a protocol using single-dose kinetic studies was developed to switch patients to CB...

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01358.x

    authors: Kanner AM,Bourgeois BF,Hasegawa H,Hutson P

    更新日期:1998-02-01 00:00:00

  • Molecular pathways controlling inhibitory receptor expression.

    abstract::Epilepsy is a disease of complex etiology, and multiple molecular mechanisms contribute to its development. Temporal lobe epilepsy (TLE) may result from an initial precipitating event such as hypoxia, head injury, or prolonged seizure (i.e., status epilepticus [SE]), that is followed by a latent period of months to ye...

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    pub_type: 杂志文章,评审

    doi:10.1111/epi.12036

    authors: Grabenstatter HL,Russek SJ,Brooks-Kayal AR

    更新日期:2012-12-01 00:00:00

  • Validation of rapid suicidality screening in epilepsy using the NDDIE.

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    pub_type: 杂志文章

    doi:10.1111/epi.13373

    authors: Mula M,McGonigal A,Micoulaud-Franchi JA,May TW,Labudda K,Brandt C

    更新日期:2016-06-01 00:00:00

  • Relative frequency of different types of epilepsy: a study employing the classification of the International League Against Epilepsy.

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    journal_title:Epilepsia

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    doi:10.1111/j.1528-1157.1975.tb06073.x

    authors: Gastaut H,Gastaut JL,Gonçalves e Silva GE,Fernandez Sanchez GR

    更新日期:1975-09-01 00:00:00

  • Reevaluation of surgical failures and the role of reoperation in 39 patients with frontal lobe epilepsy.

    abstract::Between 1929 and 1980, 284 patients with refractory nontumoral frontal lobe epilepsy (FLE) underwent operation at the Montreal Neurological Institute (MNI). We studied 39 patients (14%) who required reoperation. Mean age at the time of first operation was 18 years and at reoperation was 22 years. Clinical manifestatio...

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    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02914.x

    authors: Salanova V,Quesney LF,Rasmussen T,Andermann F,Olivier A

    更新日期:1994-01-01 00:00:00