Post Ictal Psychosis in Drug-Resistant Epilepsy Responding to a Ketogenic Diet.

Ketogenic diets mimic the metabolic profile of fasting, altering neuron energetics and stabilizing neuron synaptic function. They have an established role in the treatment of drug-resistant epilepsy(DRE). We present the case of a 30year-old male with an 18-year history of DRE and postictal psychosis; all attempts at seizure control failed until he was finally commenced on a ketogenic diet, which greatly reduced the seizure frequency. In addition to improved seizure control, his psychosis and anxiety symptomatology dramatically improved, resulting in a better quality of life.


McManus E, McCoy Stacey, Lynch DPL, Beer WD, Phillips CLM 

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