Referral LA area and Keppra Question
Posted: Fri May 23, 2014 6:10 pm
My 10 year old daughter was diagnosed with epilepsy last year. She initially had blurry vision and then had instances of feelings of sudden nausea. In July 2013, she had a seizure where she lost consciousness, her whole body went rigid but there was not any convulsions. She was taken to CHOLA and put on 2ml of keppra 2x daily. She has had off and on feeling so sudden nausea still (which I understand is a seizure) her neurologist has increased her medications up each time. Recently, the seizures seemed to increase in intensity and she has had some additional symptoms (shivers), She is currently 70 pounds and is taking 11.5 ml 2x daily. Is this within normal range, and what medication would be tried next (trileptal) ? Would it be in addition to or replace the Keppra.
Also we are looking for an pediatric epilepsy expert in the Los Angeles area for a second opinion. We are currently with Kaiser. Any recommendations would be much appreciated.
Thank you
_______________________________________________________
Below is the reading from her EEG
REPORT:
Awake: During the awake state with eyes closed, the background
consisted of a 10 Hz posterior dominant rhythm, which attenuates
appropriately with eye opening.
Sleep: With drowsiness, there is some waxing and waning of the
posterior dominant rhythm, with eventual replacement by a mixture
of beta, alpha, and theta activity. As the patient enters Stage
II of sleep, symmetrical spindles and vertex sharp waves are
present. Arousal is unremarkable.
Other abnormalities: Rare C4-P4 sharp-wave discharges occur in
drowsiness.
Hyperventilation for 5 minutes results in no change in the
background activity. .
Photic stimulation using a step-wise increase in photic frequency
results in bilateral driving responses but no activation of
epileptiform activity.
A prolonged EKG rhythm strip revealed sinus rhythm.
Also we are looking for an pediatric epilepsy expert in the Los Angeles area for a second opinion. We are currently with Kaiser. Any recommendations would be much appreciated.
Thank you
_______________________________________________________
Below is the reading from her EEG
REPORT:
Awake: During the awake state with eyes closed, the background
consisted of a 10 Hz posterior dominant rhythm, which attenuates
appropriately with eye opening.
Sleep: With drowsiness, there is some waxing and waning of the
posterior dominant rhythm, with eventual replacement by a mixture
of beta, alpha, and theta activity. As the patient enters Stage
II of sleep, symmetrical spindles and vertex sharp waves are
present. Arousal is unremarkable.
Other abnormalities: Rare C4-P4 sharp-wave discharges occur in
drowsiness.
Hyperventilation for 5 minutes results in no change in the
background activity. .
Photic stimulation using a step-wise increase in photic frequency
results in bilateral driving responses but no activation of
epileptiform activity.
A prolonged EKG rhythm strip revealed sinus rhythm.