{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:08:08Z","timestamp":1790197688486,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1990,9,1]],"date-time":"1990-09-01T00:00:00Z","timestamp":652147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[1990,9]]},"abstract":"<jats:p>Medium\u2010chain triglycerides (MCT) are an important component of an enteral ketogenic diet for seizure control. Previously, it was difficult to maintain ketosis when parenteral (iv) nutrition therapy was necessary. The use of iv MCT in a 5\u2010year\u2010old girl with Lennox\u2010Gastaut syndrome who had diarrhea and dehydration is reported. Conventional 20% iv fat emulsion (long\u2010chain triglycerides, LCT) and dextrose free hyperalimentation (HAL) in a 4:1 ketogenic ratio did not maintain adequate ketosis during bowel rest. Compassionate use of iv MCT (Clintec Nutrition) infused as a 70:30 MCT\/ LCT ratio plus HAL maintained moderate ketosis. Seizures were well controlled during the iv MCT regimen, which allowed normal daily functioning. Complications included abnormal liver function tests and severe iron deficiency anemia of unknown etiology. Serum triglyceride and cholesterol levels increased to 1717 mg\/dl and 614 mg\/dl, respectively, but decreased with a reduction of lipid infusion and use of an antihyperlipemic drug. Nutritional status was maintained. In this case, iv MCT proved to be a relatively safe and effective short\u2010term method of continuing parenteral nutrition while maintaining ketosis for seizure control. <jats:italic>(Journal of Parenteral and Enteral Nutrition<\/jats:italic> <jats:bold>14:<\/jats:bold>543\u2013545, 1990)<\/jats:p>","DOI":"10.1177\/0148607190014005543","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"543-545","source":"Crossref","is-referenced-by-count":14,"title":["Use of Parenteral Medium\u2010Chain Triglyceride Emulsion for Maintaining Seizure Control in a 5\u2010Year\u2010Old Girl with Intractable Diarrhea"],"prefix":"10.1002","volume":"14","author":[{"given":"Elana","family":"Rosenthal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Weissman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kay","family":"Kyllonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1990,9]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"1037","article-title":"Fasting as a method of treating epilepsy","volume":"99","author":"Geyelin MR","year":"1921","journal-title":"Med Record"},{"key":"e_1_2_1_3_1","first-page":"307","article-title":"The effect of ketonemia on the course of epilepsy","volume":"2","author":"Wilder RM","year":"1921","journal-title":"Mayo Clin 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