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Table 2 Imaging and neurological findings

From: Treatment of glioma patients with ketogenic diets: report of two cases treated with an IRB-approved energy-restricted ketogenic diet protocol and review of the literature

 

Imaging

Neurological

Pt no.

Pre ERKD

Post ERKD

Pre ERKD

Post ERKD

1

Rt. post cerebral mass

Extension of Rt. post cerebral mass

Lt. sided visual field defect, wide based gait, ↓analytical mental skills

Lt. sided visual field defect, difficulty walking, unable to work as engineer, ↑blindness, dementia

2

Lt. post cerebral mass

New mass Lt frontal medial lobe

Rt. visual field defect, ↓analytical and administrative skills

Rt. visual field defect, intermittent tunnel vision, ↓analytical and administrative skills

3

Extensive involvement entire spinal chord

No change in MRI scan. FDG uptake decreased by 21%

↓Body wt, failure to thrive, ↓motor skills

↑Skill development, gait, mobility, speech, hand coordination, could stand and sit and walk with walker

4

Stable cerebellar tumor by CT

FDG uptake ↓21%

↑Headaches, ↓balance, ↓coordination

Unknown

5

Multi-centric: Rt. temporal pole, frontal operculum, insular lobe, post putamen

MRI negative, Pet negative

Progressive memory loss, headaches, ↓vision, Lt. sided facial and arm weakness

Karnoski 100%

No neuro deficits

6

MRI thalamic and hypothalamic mass

15% ↓tumor by MRI

↓Vision, hypothalamic obesity, ↓stamina, ↓pituitary function

↑Vision, ↓hypothalamic obesity, ↑stamina, ↑pituitary function

7

Lt. parietal enhancing mass

CT-PET, tumor necrosis

↓Word finding, ↑confusion, blurred vision

Continued working and exercising

  1. FDG, floro-deoxy-glucose.