 Therefore, no recommendations can be made regarding the selection of the most appropriate antiepileptic drug.As not all cases of ring chromosome 20 syndrome are the same, different individuals may respond to treatment in different ways.Alternates to antiepileptic drug treatment include the ketogenic diet and vagus nerve stimulation but not epilepsy surgery.The ketogenic diet is a high fat, low carbohydrate diet reserved for intractable childhood epilepsies.