Any foods that trigger attacks or interact with anticonvulsants
WHO’S AFFECTED
More than 2 million North Americans are affected by epilepsy
10% of people who have Alzheimer’s disease
50% of children with both mental retardation and cerebral palsy
Epilepsy refers to recurrent seizures triggered by abnormal electrical impulses in the brain Some
seizures are so mild and fleeting that they are barely noticeable; others last for several minutes,
during which the person falls down and is seized by convulsive movements The frequency of
seizures also varies from person to person
Neurologists generally discount any link between diet and epilepsy, but there are exceptions Those
with epilepsy who have migraine headaches that are triggered by certain foods often cease to have
seizures when those foods are eliminated Some diabetics suffer seizures when their blood sugar
levels drop suddenly Large amounts of alcohol consumed in a short time can cause seizures There
have been rare reports of aspartame triggering seizures in people with epilepsy
Another exception: The ketogenic diet has helped halt seizures in the 20% of children whose
attacks cannot be controlled by drugs
Nutrition Connection
There is no one set diet for those with epilepsy, but some of these nutritional approaches may be
helpful in controlling the disease:
Consider the ketogenic diet for children Neurologists at Johns Hopkins Hospital have refined a
dietary treatment for severe epilepsy The ketogenic diet causes the body to break down fats instead
of carbohydrates for energy For children, the diet begins with 2 to 3 days of fasting in a hospital, and
then the foods are introduced gradually It provides about 75% of the calories generally
recommended for healthy children, most of them from fats A small amount of protein is added to
allow for at least some growth, but carbohydrates are kept to a minimum Fluid intake is restricted
The diet must be carefully tailored and then followed exactly, as even small changes can cause
seizures Although difficult, there’s a payoff: Most can resume a normal diet and still be seizure-free
after 2 to 3 years
Make diet changes Adults can also try the ketogenic diet if they don’t respond to drugs But this
diet isn’t recommended for adults because of its very restrictive nature Johns Hopkins researchers
have also developed a modified Atkins diet, which is a low-carbohydrate, high-fat diet Studies have
shown that the diet lowers seizure rates in nearly half of adults who try it Speak to your doctor
before changing your diet
Beyond the Diet
People with epilepsy can lead a fulfilling life Keep the seizures under control by following these
guidelines:
Stay on top of your medications Although dealing with side effects can be difficult, it is
imperative to take the right doses as frequently as directed by your doctor If the side effects bother
you, speak to your doctor
Get good sleep Not getting enough rest can trigger a seizure Aim for 7 to 8 hours a night
Wear a medical alert bracelet This can alert medical personnel effectively and save your life
Inquire about other therapies Depending on your situation, surgery or other therapies may be
advisable Speak to your doctor about your options
22% of stroke patients may develop epilepsy