March 4, 2010
"Those are good points. I'd like to discuss this among my colleagues and present him at our conference the third week this month. I am wondering if ACTH, vs steroid, vs IVIG would be the best option to try after ketogenic diet. With IVIG, he wouldn't need to come off the diet. However, with ACTH or high dose prednisone, we would have to stop the diet (although, I am not sure about how long and how quickly we would be able to get him back on it). Give me some time to gather a little data and let's touch base in a few weeks, if you will. We may end up cancelling the EEG on 3/26, as I am not sure it will change management at that time."