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간질의 기타 보조적 치료

Other Titles
 Epilepsy : Other Supplementary Treatments 
Authors
 김흥동 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION , Vol.46(4) : 307-314, 2003 
Journal Title
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 
ISSN
 1975-8456 
Issue Date
2003
MeSH
Epilepsy ; Immunoglobulin ; Steroid ; Ketogenic diet ; 간질 ; 면역글로불린 ; 스테로이드 ; 케톤생성 식이요법
Keywords
Epilepsy ; Immunoglobulin ; Steroid ; Ketogenic diet ; 간질 ; 면역글로불린 ; 스테로이드 ; 케톤생성 식이요법
Abstract
Conventional anti-epileptic treatments have limitations in treating many epileptic patients. Although there have been great advances in the management of epilepsy by application of newly developed anti-convulsants and surgery, some patients still remain in an intractable condition. Other supplementary treatments including immunoglobulin, steroids, and ketogenic diet have significant anti-epileptic potencies. Immunoglobulin treatment shows benefits in some autoimmune-related epileptic conditions such as Rasmussen's encephalitis, however, still has limitations in long-term efficacy. Steroids show significant improvements in many epileptic syndromes including infantile spasm, Lennox-Gastaut syndrome, Landau-Kleffner syndrome, and epilepsy with continuous spikes and waves during slow wave sleep, however, some of them recur during or after tapering of the drug. Ketogenic diet has become one of the most reliable treatments for intractable epilepsy especially in children. Ketogenic diet is difficult to maintain because of poor palatability, but shows a very high anti-epileptic efficacy. These supplementary treatments should be considered in various epileptic conditions especially in intractable patients.
Files in This Item:
T200304211.pdf Download
DOI
10.5124/jkma.2003.46.4.307
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Heung Dong(김흥동) ORCID logo https://orcid.org/0000-0002-8031-7336
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113785
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