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Neurology

We currently provide an inpatient service to patients requiring acute neurology therapy, neuro-surgery and rehabilitation support for a wide range of neurological conditions.

A lot of patients have difficulties eating and drinking as a result of their neurological condition. We aim to optimise their nutritional status through oral nutritional support and often artificial nutrition.

Ketogenic Diet

One of the more common neurological disorders in childhood is epilepsy. The first line treatment for epilepsy is the use of anti-epileptic drugs, which should be started after two or more seizures. Unfortunately, 30% of patients with epilepsy will not respond to medications and other treatment options are necessary; one of these being the Ketogenic Diet.

There are currently four different types of the Ketogenic Diet (KD); Classical KD, Medium chain triglyceride KD, Modified Atkins Diet (MAD), and the Low Glycaemic Index Diet (LIGD). All four versions take a similar approach to achieving and maintaining ketosis through the promotion of a high fat, restricted carbohydrate and adequate protein diet. Usual practice is for patients to undergo a three month trial period on one of the above KD to see if there is a positive response to the treatment. If it is found to be effective the recommended treatment period is two years.

The KD is not an easy diet to follow and the Ketogenic dietitian

supports children and their families to ensure they can understand and follow dietary advice alongside medical treatments to achieve good seizure control, growth and overall health and wellbeing.

How to be seen for epilepsy management using a ketogenic diet

We will except funded or private referrals from paediatric consultants. For more information contact Phillipa.Thomas@uhbristol.nhs.uk

 

Dietitian guidance

For dietitian guidance please click here.