12 yr old male with history of brain bleed and birth anoxia. Now with diagnosis of multifocal seizure, including atonic seizures, MR, and poor impulse control . Becomes hypertensive on Concerta . Also on Keppra 1500 mg BID and trileptal 600 mg BID. EEG abnormal, but seizures controlled except weekly atonic seizure and behavior. Suggest medication.