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Hello. Breakthrough seizures represent a worsening on one's condition, and should be worked up. Has he had an MRI and EEG recently?
Yes, he saw his neurologist last year after his employer had suspended him on full pay. This would be a year ago. There were no actual witness statements on what had happened - his employer had not provided them. I had not seen them. This was when his medication (Topiramate) was increased to the maximum dosage. By November, it was obvious that this medication no longer worked as he was still having the 'walkabout' seizures.
In November, he was prescribed the Leviteracetum. As I said in my previous post, mentally he is much clearer, and more positive in attitude, and since the new year he has seemed fine. Do you think we should insist on a further review of the medication level, because of these two recent ones?
It sounds like he is doing much better on the Keppra. It is an excellent anti-seizure medication, and he should stay on it.
If he is still having some breakthrough seizure activity, he may need to have his dose increased or a small dose of a second anti-seizure medication added.
Before this happens, however, he should have his situation reevaluated completely, including any other meds or supplements he might be taking, any recent changes in his weight, diet, exercise routine, or even stress levels.
If a cause can be found for these recent "walkabouts", a minor intervention or change might be all that is needed.
It is quite stressful trying to find employment; and he is not as active as he used to be. His hobby is golf, but having to rely on people to drive you about... well he is not a good passenger.
He has put on a bit of weight, so I will try to get him to get out and about a bit, and speak to someone about the medicine. He doesn't take any supplements.
Thank you for your help.