Neurology Update

According to Bertrand's neurologist, "I would wait and reschedule it [the EEG] for 4 weeks out from when you increased the ketogenic diet to 4:1 ratio which I think was less than 2 weeks ago. I don't expect it to take effect that quickly. Also, we discussed him at an attending conference. The general feeling was to give the ketogenic diet a little more time and then consider ACTH. Problem with ACTH is that it is great short term but the myoclonus tends to recur less than 6 months from stopping so he may need to go on prednisone or dexamethasone for prolonged time. I am worried about his weight and the fracture, so want to give this time to heal before starting."