Caso clínico : tratamiento para epilepsia refractaria con antecedentes de parálisis cerebral infantil.

Abstract

Refractory epilepsy is diagnosed when there is no correct seizure control. Furthermore, the drugs do not respond during treatment. The presence of side effects can disable the patient. The ketogenic diet is based on foods low in carbohydrates, protein and high in fat. That is why it is used as a solution to refractory epilepsy. The present clinical case is of a 20-year-old female patient with a history of childhood cerebral palsy. Admitted due to having a seizure event, due to refractory status epilepticus. Midazolam, propofol and analgesia with morphine are used, through orotracheal intubation and mechanical respiratory assistance. Regarding the anthropometric data, they indicate a normal weight and chemical analysis identifies that they have high magnesium, triglycerides, and phosphorus. In addition, the levels of creatinine, hematocrit, albumin, and iron are low. urea, hemoglobin, total proteins, triglycerides and transferrin. Therefore, the use of a soft, blended ketogenic diet is suggested to improve these values, with a caloric molecule distribution of 5% CHO, 10% protein, 85% fat.