Keywords
Non-Ketotic Hyperglycinemia
Seizures
Hypokalemia
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Abstract
Objective: To report a case study on non-ketotic hyperglycinemia and the nutritional treatment prescribed with a ketogenic diet. Case detail: Female patient, 3 years old, born in Cajazeiras-PB. She was admitted to a University Hospital (EBSERH) in the city with excessive sleepiness, associated with worsening seizures. In the first days of hospitalization, the patient used a 4:1 diet similar to the one she was eating at home. On the fourth day of potassium replacement, the blood levels of this mineral reduced significantly even though the replacement therapy had not ceased, which led to the suspicion that the 4:1 ketogenic diet could be influencing the condition. Thus, the diet was involution changing to 3:1 and then 2:1 and at this concentration the patient was able to maintain normal potassium levels and was discharged. Final considerations: It is considered that the ketogenic diet presented itself as an important nutritional strategy in controlling seizures in non-ketotic hyperglycinemia, however the prolonged use of this diet, especially at concentrations of 4g of fat for 1 g of carbohydrate, was related to the development of hypokalemia.
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