中鏈三酸甘油脂生酮飲食治療兒童癲癇：個案報告

Treatment of Childhood Epilepsy with a Medium Chain Triglyceride Ketogenic Diet （MCTKD）: A Case Report

一位9歲小女孩、出生胎齡為38週、出生體重3800g，因細菌性腦膜炎導致腦癱，造成格林-巴利綜合症候群並使用抗癲癇藥控制。由於癲癇發作頻繁，平均每天發作3-4次，建議病患使用生酮飲食並進行監測。中鏈三酸甘油酯生酮飲食(MCTKD)是一種特殊的高脂肪低碳水化合物飲食，有助於控制癲癇患者的癲癇發作，飲食中的脂肪與碳水化合物和蛋白質克的比例採用3：1的比例。病患癲癇發作由每天發生3至4次，改善至而每週3至4次，並且縮短癲癇發作時間。中鏈三酸甘油酯生酮飲食有明顯但並非完全控制癲癇發作。

Our case involves a nine-year-old little girl with a birth history of the gestational age of 38 weeks, body weight of 3800g as well as a medical, history cerebral palsy due to bacterial meningitis which can lead to Guillain-Barre´Syndrome (GBS) and, epilepsy controlled with antiepileptic drugs. The patient complained of frequent seizure episodes, averaging 3-4 seizures per day. We suggested a, ketogenic diet and further surveillance. The medium-chain triglyceride ketogenic diet (MCTKD) is a special high-fat, low-carbohydrate diet that has been reported to help control seizures in patients with epilepsy. The ketogenic diet“ratio”is a 3:1 ratio of fat to carbohydrate and protein grams combined. Her seizure daily episodes were reduced to 3 or 4 times per week and their durations were shortened. The diet improved her condition has significantly, though total seizure control was not achieved.