MovDisordV3, PascalFrancis, Checkpoint, bibRecord, 002531

Basal ganglia injury as a complication of the ketogenic diet

Identifieur interne : 002531 ( PascalFrancis/Checkpoint ); précédent : 002530; suivant : 002532

Basal ganglia injury as a complication of the ketogenic diet

Auteurs : Jay C. Erickson [États-Unis] ; Bahman Jabbari [États-Unis] ; Marc P. Difazio [États-Unis]

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:03-0272655

Descripteurs français

Pascal (Inist)
- Régime alimentaire, Imagerie RMN, Extrapyramidal syndrome, Epilepsie, Noyau gris central, Etude cas, Complication, Traitement, Enfant, Cétose, Lésion focale, Enregistrement vidéo.
Wicri :
- topic : Enfant.

English descriptors

KwdEn :
- Basal ganglion, Case study, Child, Complication, Diet, Epilepsy, Extrapyramidal syndrome, Focal lesion, Ketose, Nuclear magnetic resonance imaging, Treatment, Video recording.

Abstract

Movement disorders or basal ganglia injury have not been reported as complications of the ketogenic diet, an alternative treatment for intractable epilepsy. We report on a novel complication of the ketogenic diet manifesting as a severe extrapyramidal movement disorder and bilateral putaminal lesions. A single case is described. A video demonstrating the movement disorder is included. A 5-year-old girl with a cryptogenic epileptic encephalopathy developed focal dystonia, diffuse chorea, and ataxia after starting the ketogenic diet. Cranial magnetic resonance imaging (MRI) demonstrated bilateral putaminal lesions that were not present before starting the diet. MR spectroscopy showed a lactate peak in the basal ganglia, suggesting a failure of mitochondrial energy metabolism as the mechanism of cerebral injury. The radiographic abnormalities resolved after stopping the diet, although the movement disorder persisted. Basal ganglia injury and extrapyramidal movement abnormalities are potential complications of the ketogenic diet. Concomitant use of valproate or a latent inborn error of metabolism may be risk factors for these rare complications.

Affiliations:

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Le document en format XML

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	Movement Disorders (revue)
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Movement Disorders (revue)

Basal ganglia injury as a complication of the ketogenic diet

Basal ganglia injury as a complication of the ketogenic diet

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Descripteurs français

English descriptors

Abstract

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