TY - CHAP M1 - Book, Section TI - Chapter 563. Epilepsy Treatment: Ketogenic Diet and Neurostimulation A1 - Bergin, Ann M. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - Most children with epilepsy in childhood achieve seizure freedom with anticonvulsant medication, and many outgrow their epilepsy and can be seizure-free and medication-free in adulthood. However, up to one third of patients can have intractable epilepsy, usually defined as continuing to have debilitating seizures despite the use of 2 or 3, appropriately chosen anticonvulsant medications at high therapeutic doses. For some children who have focal epilepsy, surgical resection of the responsible focus offers an alternative approach, and possibly cure of epilepsy. For others who do not have a surgical option, dietary manipulation and new techniques of neurostimulation offer approaches that may improve or even achieve seizure control. For those children whose seizure control improves, a reduction in medication dose or number can improve quality of life by reducing adverse effects. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7058086 ER -