GLUT1 deficiency syndrome in clinical practice

被引:109
作者
Klepper, Joerg [1 ]
机构
[1] Childrens Hosp Aschaffenburg, D-63739 Aschaffenburg, Germany
关键词
GLUT1; GLUT1 deficiency syndrome; Intractable epilepsy; Ketogenic diet; SLC2A1; CSF glucose; MODIFIED ATKINS DIET; BLOOD-BRAIN-BARRIER; KETOGENIC-DIET; EPILEPSY; MUTATIONS; FEATURES; THERAPY; SLC2A1; GENE;
D O I
10.1016/j.eplepsyres.2011.02.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
GLUT1 deficiency syndrome (GLUT1DS) is caused by impaired glucose transport into brain and is effectively treated by means of a ketogenic diet. In clinical practice the diagnosis of GLUT1DS often is challenging due to the increasing complexity of symptoms, diagnostic cut-offs for hypoglycorrhachia and genetic heterogeneity. In terms of treatment alternative ketogenic diets and their long-term side effects as well as novel compounds such as alpha-lipoic acid and triheptanoin have raised a variety of issues. The current diagnostic and therapeutic approach to GLUT1DS is discussed in this review in view of these recent developments. (C) 2011 Published by Elsevier B.V.
引用
收藏
页码:272 / 277
页数:6
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