John Libbey Eurotext

Ketogenic parenteral nutrition in three paediatric patients with epilepsy with migrating focal seizures Volume 21, issue 5, October 2019


1 Department of Nutrition,
2 Department of Neurology, Hospital Pediatria JP Garrahan, Buenos Aires, Argentina
* Correspondence: Marisa Armeno Dpt Nutrition, Hospital Pediatria JP Garrahan, Combate de los Pozos 1881, Capital Federal, Buenos Aires 1245, Argentina


Epilepsy of infancy with migrating focal seizures (EIMFS) is a rare epilepsy syndrome, characterized by an onset of multifocal seizures before the age of six months and a rather typical ictal EEG pattern. The ketogenic diet (KD) has been shown to be a treatment option in these patients with variable results. The KD is generally given by enteral formula or solid food, however, patients on the KD often have coexisting medical disorders that may impair the gastrointestinal tract and, in these cases, parenteral nutrition support may be needed. We present our experience with three patients who had been on the KD because of EIMFS, who were acutely unable to absorb nutrients through the intestinal tract.