Influência da dieta hipossódica e da alergia alimentar no tratamento da epilepsia

Leite, Carlos Eduardo

doi:10.1590/S0004-282X1981000300010

Resumos

É feita uma apreciação dos métodos de tratamento da epilepsia no início do século como o jejum, a dieta desidratante e a restrição de cloreto de sódio. O autor se fixa neste último, julgando que ele possa ser um fator desencadeante de crises epilépticas. Apresenta oito casos tratados com dietas restritas em cloreto de sódio, havendo melhora do quadro convulsivo em todos os pacientes. Fato surpreendente foi a melhora concomitante do comportamento em geral, da excitabilidade e de dores de cabeça, referidos pelos doentes e seus familiares. Por fim, é realçada a importância da alergia alimentar como causa de crises epilépticas.

An appreciation of the methods on epilepsy treatment has been done since the beginning of the century such as fasting, dehydrating diet and the restriction of sodium chloride. The autor says that the latter may be a breating out factor of epileptic crisis. He presents eight cases treated on restritive diets on sodium chloride so that a progress is shown in the convulsive board of all patients. Surprising facts were the simultaneous progress on behavior in general, excitability and headaches, told by patients and their relatives. At last, the importance of alimentary allergy is emphasized as cause of epileptic crisis.

Influência da dieta hipossódica e da alergia alimentar no tratamento da epilepsia

Influence of hyponatremia and food anti-allergic measure in the treatment of epilepsy

Carlos Eduardo Leite

Médico neuropsiquiatra em Moji das Cruzes, São Paulo

RESUMO

É feita uma apreciação dos métodos de tratamento da epilepsia no início do século como o jejum, a dieta desidratante e a restrição de cloreto de sódio. O autor se fixa neste último, julgando que ele possa ser um fator desencadeante de crises epilépticas. Apresenta oito casos tratados com dietas restritas em cloreto de sódio, havendo melhora do quadro convulsivo em todos os pacientes. Fato surpreendente foi a melhora concomitante do comportamento em geral, da excitabilidade e de dores de cabeça, referidos pelos doentes e seus familiares. Por fim, é realçada a importância da alergia alimentar como causa de crises epilépticas.

SUMMARY

An appreciation of the methods on epilepsy treatment has been done since the beginning of the century such as fasting, dehydrating diet and the restriction of sodium chloride. The autor says that the latter may be a breating out factor of epileptic crisis. He presents eight cases treated on restritive diets on sodium chloride so that a progress is shown in the convulsive board of all patients. Surprising facts were the simultaneous progress on behavior in general, excitability and headaches, told by patients and their relatives. At last, the importance of alimentary allergy is emphasized as cause of epileptic crisis.

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34. SHERMANN, H. - cit. por Teglbjaerg, Stubbe ³⁵.

39. WILDER, R. - cit. por Helmholz & Keith. J. A. M. A. 95:707, 1930.

Rua Maurilio Souza Leite 108 - 087jj, Moji das Cruzes, SP - Brasil.

1. CARTER, N. W.; RECTOR, F. C. & SELDIN, D. W. - Hyponatremia in cerebral disease resulting from the inappropriate secretion of antidiuretic hormone. New England J. Med. 264:67, 1961.
2. CLAUDE, H. & LEJOUNE, P. - Contribution a 1'etude de la pathogénie des crises epileptiques. Comptes Renduz Soc. Biologie. 68:138, 1910.
3. CLEGG, J. L. & THORPE, R. T. - Induced water retention in diagnosis of idiophatic epilepsy. Lancet I:1.381, 1935.
4. COOKE, R. E. & OTTENHEIMER. E. J. - Clinical and experimental interrelations of sodium and the central nervous system. Advance Pediatr. 11:81, 1960.
5. DAHAL, L. K. - Salt and hypertension. Am. J. Clin. Nutr. 25:231. 1972.
6. DAVISON, H. M. - Cerebral allergy. Southern Med. J. 42:712, 1949.
7. De GENARO, F. & NYHAN, W. L. - Salt, a dangerous "antidote". J. Pediatrics. 78:1.048, 1971.
8. FAT, T. - The therapeutic effect of dehydration on epileptic patients. Arch Neurol. Psychiat. (Chicago) 23:920, 1930.
9. FRIES, E. D. - Salt, volume and prevention of hypertension. Circulatior 53:589, 1976.
10. GAMBLE, J. C; ROSS. G. S. & TISDALL, F. F. - The metabolism of fixed base during fasting. J. Biol. Chem. 57:633, 1923.
11. GEYELIN, H. B. - Fasting as a method for treating epilepsy. Med. Rec 99:1.037, 1921.
12. GEYELIN, H. B. - The relation of chemical influences, induing diet and endocrine disturbances to epilepsy: fasting and ketogenic diet in epilepsy. Ann. Ind. Med. 2:678, 1928.
13. GLASER, G. M. - Sodium and seizures.Epilepsia 5:111, 1964.
14. GUELPA, G. & MARIE, A. - La lutte contre l'épilepsie par la desintoxication el par reeducation alimentaire. Bull. Gen. Therap. 100:616, 1910.
15. HELWIG, F. C.; CURRY, D. E. & SCHUTZ, C. B. - Water intoxication. J. A. M. A. 104:1-569, 1935.
16. HOUSSAY, B. - Fisiologia Humana. Versão brasileira. Editora Guanabara-Koogan Rio de Janeiro, 1956.
17. KEMPNER, W. - Treatment of kidney disease and hypertensive vascular disease with rice diet. North Caroline Med. J. 5:125, 1944.
18. KENNEDY, FOSTER - Allergy and his effect on the central nervous system. J. Ner. Ment. Dis. 88:91, 1938.
19. McQUARRIE, I - Epilepsy in children: the relationship of water balance to the occurence of seizure. Am. J. Dis. Chil. 38:451, 1929.
20. MsQUARRIE, I & PEELER, D. B. - The effects of sustained pituitary antidiuresis and forced water drinking in epileptic children: a diagnostic and etiologic study. J. Clin. Invest. 10:915, 1931.
21. MICHENFELDER, J. D. - Cerebral protection by barbiturate anesthesia. Arch. Neurol. (Chicago) 33:345, 1976.
22. MIRALLIE, Ch. - Des resultats du traitement de l'épilepsie par le regime achloruré et le broume. Bull, de Académie Med. 81:398, 1919.
23. MORRIS-JOHNES, P. H.; HOUSTON, J. B. & EVANS, R. C. - Prognosis of the neurological complications of acute hypernatremia. Lancet II:1.385, 1967.
24. MOSELEY, J. I.; LAURENT, J. P. & MOLINARI, G. F. - Barbiturate attenuation of the clinical course and pathologic lesions in a primate stroke model. Neurology (Minneapolis) 25:870, 1975.
25. PAGNIEZ, Ph. & LIEUTAND, P. - Phénomènes de type anaphylactique dans la pathogénie de certaines crises comitiales. Près. Méd. 27:693, 1919.
26. PAGNIEZ, Ph. - L'Épilepsie. Masson & Cie. Paris, 1929.
27. PERUCCA, E.; GARRATT. A.; HEBDIGE, S. & TICHENS, A. - Water intoxication in epileptic patients receiving carbamazepine. J. Neurol. Neurosurg. Psychiatry 41:713, 1978.
28. PETERMANN, M. G. - Ketogenic diet in the treatment of epilepsy. J. A. M. A. 84:1.979, 1935.
29. RICHET, -Ch. & TOULOUSE - cit. por Cestan, R. Les Épilepsies. Flammarion, Paris, 1922.
30. RINKEL, H. J.; LEE, C. H.; BROWN, D. Jr; WILLOUGHVT, J. W. & WILLIMANS, J. M. - The diagnosis of food allergy. Arch. Otolaryng. 79:71, 1964.
31. ROWE, A. H. & ROWE, A. Jr. - Food Allergy. Charles C. Thomas, Springfield (Illinois), 1972.
32. ROWNTREE, L. G - Effects on mamais of administration of excessive quantities of water. J. Pharmacol. & Exp. Therap. 29:135, 1926.
33. SCHNEIDER, J. Urinary excretion of electrolytes in centrecefalic epileptics. Epilepsia 2:358, 1961.
35. TEGLBJAERG, STUBBE - Investigations on Epilepsy and Water Metabolism. Levin & Munksgaard, Copenhagen, 1936.
36. TOBIAN, I. Jr. - A view-point concerning the enigma of hypertension. Am. J. Med. 52:598, 1972.
37. TOWER, D. B. - Problems associated with studies of electrolytes metabolism in normal and epileptic cerebral cortex. Epilepsia 6:183, 1965.
38. WATKIN, D. M.; FRAEB, H. F.; HATCH, F. T. & GUTMANN, A. B. - Effects of diet in essencial hypertension. Am. J. Med. 9:441, 1950.
40. WILMER, H. B. & MILLER, M. M. - A case of epilepsy presenting unusual manifestations. J. Allergy 5:628, 1934.
41. WOODBURY, D. M. - Effects of diphenylhydantoin on electrolytes and radiosodium turnover in brain and other tissues of normal, hyponatremic and posictal rats. J. Pharmacol. Ep. Therap. 115:74, 1955.

Datas de Publicação

Publicação nesta coleção
17 Ago 2012
Data do Fascículo
Set 1981

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. CARTER, N. W.; RECTOR, F. C. & SELDIN, D. W. - Hyponatremia in cerebral disease resulting from the inappropriate secretion of antidiuretic hormone. New England J. Med. 264:67, 1961.

[2] 2. CLAUDE, H. & LEJOUNE, P. - Contribution a 1'etude de la pathogénie des crises epileptiques. Comptes Renduz Soc. Biologie. 68:138, 1910.

[3] 3. CLEGG, J. L. & THORPE, R. T. - Induced water retention in diagnosis of idiophatic epilepsy. Lancet I:1.381, 1935.

[4] 4. COOKE, R. E. & OTTENHEIMER. E. J. - Clinical and experimental interrelations of sodium and the central nervous system. Advance Pediatr. 11:81, 1960.

[5] 5. DAHAL, L. K. - Salt and hypertension. Am. J. Clin. Nutr. 25:231. 1972.

[6] 6. DAVISON, H. M. - Cerebral allergy. Southern Med. J. 42:712, 1949.

[7] 7. De GENARO, F. & NYHAN, W. L. - Salt, a dangerous "antidote". J. Pediatrics. 78:1.048, 1971.

[8] 8. FAT, T. - The therapeutic effect of dehydration on epileptic patients. Arch Neurol. Psychiat. (Chicago) 23:920, 1930.

[9] 9. FRIES, E. D. - Salt, volume and prevention of hypertension. Circulatior 53:589, 1976.

[10] 10. GAMBLE, J. C; ROSS. G. S. & TISDALL, F. F. - The metabolism of fixed base during fasting. J. Biol. Chem. 57:633, 1923.

[11] 11. GEYELIN, H. B. - Fasting as a method for treating epilepsy. Med. Rec 99:1.037, 1921.

[12] 12. GEYELIN, H. B. - The relation of chemical influences, induing diet and endocrine disturbances to epilepsy: fasting and ketogenic diet in epilepsy. Ann. Ind. Med. 2:678, 1928.

[13] 13. GLASER, G. M. - Sodium and seizures.Epilepsia 5:111, 1964.

[14] 14. GUELPA, G. & MARIE, A. - La lutte contre l'épilepsie par la desintoxication el par reeducation alimentaire. Bull. Gen. Therap. 100:616, 1910.

[15] 15. HELWIG, F. C.; CURRY, D. E. & SCHUTZ, C. B. - Water intoxication. J. A. M. A. 104:1-569, 1935.

[16] 16. HOUSSAY, B. - Fisiologia Humana. Versão brasileira. Editora Guanabara-Koogan Rio de Janeiro, 1956.

[17] 17. KEMPNER, W. - Treatment of kidney disease and hypertensive vascular disease with rice diet. North Caroline Med. J. 5:125, 1944.

[18] 18. KENNEDY, FOSTER - Allergy and his effect on the central nervous system. J. Ner. Ment. Dis. 88:91, 1938.

[19] 19. McQUARRIE, I - Epilepsy in children: the relationship of water balance to the occurence of seizure. Am. J. Dis. Chil. 38:451, 1929.

[20] 20. MsQUARRIE, I & PEELER, D. B. - The effects of sustained pituitary antidiuresis and forced water drinking in epileptic children: a diagnostic and etiologic study. J. Clin. Invest. 10:915, 1931.

[21] 21. MICHENFELDER, J. D. - Cerebral protection by barbiturate anesthesia. Arch. Neurol. (Chicago) 33:345, 1976.

[22] 22. MIRALLIE, Ch. - Des resultats du traitement de l'épilepsie par le regime achloruré et le broume. Bull, de Académie Med. 81:398, 1919.

[23] 23. MORRIS-JOHNES, P. H.; HOUSTON, J. B. & EVANS, R. C. - Prognosis of the neurological complications of acute hypernatremia. Lancet II:1.385, 1967.

[24] 24. MOSELEY, J. I.; LAURENT, J. P. & MOLINARI, G. F. - Barbiturate attenuation of the clinical course and pathologic lesions in a primate stroke model. Neurology (Minneapolis) 25:870, 1975.

[25] 25. PAGNIEZ, Ph. & LIEUTAND, P. - Phénomènes de type anaphylactique dans la pathogénie de certaines crises comitiales. Près. Méd. 27:693, 1919.

[26] 26. PAGNIEZ, Ph. - L'Épilepsie. Masson & Cie. Paris, 1929.

[27] 27. PERUCCA, E.; GARRATT. A.; HEBDIGE, S. & TICHENS, A. - Water intoxication in epileptic patients receiving carbamazepine. J. Neurol. Neurosurg. Psychiatry 41:713, 1978.

[28] 28. PETERMANN, M. G. - Ketogenic diet in the treatment of epilepsy. J. A. M. A. 84:1.979, 1935.

[29] 29. RICHET, -Ch. & TOULOUSE - cit. por Cestan, R. Les Épilepsies. Flammarion, Paris, 1922.

[30] 30. RINKEL, H. J.; LEE, C. H.; BROWN, D. Jr; WILLOUGHVT, J. W. & WILLIMANS, J. M. - The diagnosis of food allergy. Arch. Otolaryng. 79:71, 1964.

[31] 31. ROWE, A. H. & ROWE, A. Jr. - Food Allergy. Charles C. Thomas, Springfield (Illinois), 1972.

[32] 32. ROWNTREE, L. G - Effects on mamais of administration of excessive quantities of water. J. Pharmacol. & Exp. Therap. 29:135, 1926.

[33] 33. SCHNEIDER, J. Urinary excretion of electrolytes in centrecefalic epileptics. Epilepsia 2:358, 1961.

[34] 35. TEGLBJAERG, STUBBE - Investigations on Epilepsy and Water Metabolism. Levin & Munksgaard, Copenhagen, 1936.

[35] 36. TOBIAN, I. Jr. - A view-point concerning the enigma of hypertension. Am. J. Med. 52:598, 1972.

[36] 37. TOWER, D. B. - Problems associated with studies of electrolytes metabolism in normal and epileptic cerebral cortex. Epilepsia 6:183, 1965.

[37] 38. WATKIN, D. M.; FRAEB, H. F.; HATCH, F. T. & GUTMANN, A. B. - Effects of diet in essencial hypertension. Am. J. Med. 9:441, 1950.

[38] 40. WILMER, H. B. & MILLER, M. M. - A case of epilepsy presenting unusual manifestations. J. Allergy 5:628, 1934.

[39] 41. WOODBURY, D. M. - Effects of diphenylhydantoin on electrolytes and radiosodium turnover in brain and other tissues of normal, hyponatremic and posictal rats. J. Pharmacol. Ep. Therap. 115:74, 1955.