NUTRITIONAL THERAPY IN MALNOURISHED YOUNG ADOLESCENT: FROM EPILEPTIC STATE TO CATCH UP GROWTH
Abstract
Epilepsy and malnutrition in children are a vicious circle. Epilepsy with non-treated recurrent seizures could lead to malnutrition. Conversely, malnutrition which results in macronutrient and micronutrient deficiencies also potential to trigger seizures. We reported an adolescent, male, 14 years 6 months, with epileptic state accompanied by malnutrition status. In this case, a repeated seizures cause the unconscious level of patient and at risk of respiratory failure. Multidisciplinary therapy was arranged by anesthesiologist, pediatrician, and clinical nutritionist. The treatments began with procedure of a ventilator installation, anticonvulsant drugs, and administration of a nasogastric tube for accessing nutrition intake. Nutrition therapy focused on managing diet in critical ill children and attention to undernourished conditions that require long-term treatment. The target of nutrition calorie was achieved on day 6-8 of treatment through enteral to oral diet. Finally, nutrition education for catch-up growth was given to the families to be applied during the recovery and rehabilitation period at home.
References
2. Suryani G, Jehosua SY, Herlyani K, Zhi-Jien C, Kheng-Seang L. Attitudes toward epilepsy in Indonesia. Epilepsy Behav. 2021;123:108244.
3. Sekarsari D, Kalanjati VP, Machin A, Gunawan PI. PROFILE OF EPILEPSY PATIENTS IN PEDIATRIC WARD AT DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA IN THE PERIOD OF JANUARY-DECEMBER 2017. Maj Biomorfologi. 2020 Sep 3;30(2):34.
4. Endriastuti NE, Suryoputri MW, Ilma DL. THE EVALUATION OF ANTI-EPILEPTIC DRUGS DOSAGE IN MALNOURISHED CHILDREN: CASES IN INDONESIAN COMMUNITY OF EPILEPSY. J Farm Sains Dan Prakt. 2022 Apr 30;142–50.
5. Crepin S, Godet B, Chassain B, Preux PM, Desport JC. Malnutrition and epilepsy: A two-way relationship. Clin Nutr. 2009 Jun;28(3):219–25.
6. Tume LN, Valla FV, Joosten K, Jotterand Chaparro C, Latten L, Marino LV, et al. Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations. Intensive Care Med. 2020 Mar;46(3):411–25.
7. D’Andrea Meira I, Romão TT, Pires do Prado HJ, Krüger LT, Pires MEP, da Conceição PO. Ketogenic Diet and Epilepsy: What We Know So Far. Front Neurosci. 2019 Jan 29;13:5.
8. Mehta NM, Skillman HE, Irving SY, Coss-Bu JA, Vermilyea S, Farrington EA, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. J Parenter Enter Nutr. 2017 Jul;41(5):706–42.
9. Chen S, Chen Y, Zhang Y, Kuang X, Liu Y, Guo M, et al. Iron Metabolism and Ferroptosis in Epilepsy. Front Neurosci. 2020 Dec 8;14:601193.
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