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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Taking Keppra Affect The EEG?

Hi, my 7 YO daughter has been taking Keppra but she still has a severely unusual EEG (however no actual visible seizures) . She is falling behind at school as she quite spacey and tired and has coordination problems. She had a PF decompression earlier this year for an unrelated Chiari. This has not alleviated her epilepsy at all so the two are not linked. At the onset of her Epilepsy at 3 YO she had very mild drop seizures but interestingly has not had any since she started on the Keppra despite her horrendous EEG. Her specialists are concerned that she has nearly 100% activity in her brain during sleep. They want to put her on Epilim but I am concerned about the side effects. Any general comments would be welcome.. I understand that you are unable to give specific advice. Kind regards, Karen
Wed, 31 Dec 2014
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Neurologist,  's  Response
Seizure onset in childhood may be due to various reasons and may be syndromic also. As she has been operated for chiari malformations also ,it may be associated other developmental abnormality.
EEG is an investigation to diagnose , classify the type of epilepsy and sometimes follow up to see the response. But in your case decrease in scholastic performance seems to be related to drug than to ongoing seizure as it will lead to some impairment in consciousness of drowsiness. Treating EEG is not the goal in complex epilepsy syndromes and drug choice depends upon principle of maximum control with minimum number of drugs in tolerable doses in therapeutic levels. hope ur treating neurologist has diagnosed the disease correctly. Have faith in ur physician as it takes sometime to achieve best possible regimen.
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Does Taking Keppra Affect The EEG?

Seizure onset in childhood may be due to various reasons and may be syndromic also. As she has been operated for chiari malformations also ,it may be associated other developmental abnormality. EEG is an investigation to diagnose , classify the type of epilepsy and sometimes follow up to see the response. But in your case decrease in scholastic performance seems to be related to drug than to ongoing seizure as it will lead to some impairment in consciousness of drowsiness. Treating EEG is not the goal in complex epilepsy syndromes and drug choice depends upon principle of maximum control with minimum number of drugs in tolerable doses in therapeutic levels. hope ur treating neurologist has diagnosed the disease correctly. Have faith in ur physician as it takes sometime to achieve best possible regimen.