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Posted On : 16 Apr 2020

A 3 years girl has general tonic-clonic seizures since 1 year. EEG finding shows that she has grandmal epilepsy. She is getting Tegretol and Sodium Valproate in maximum dose but the convulsion is still occurring. What medicine may apply for her uncontrolled convulsion?

Expert Answer :

Answer Discussion :

S

sree lakshmi

0

midazolam

4 years ago

S

sharath chandra

0

leviteracetam and phenobarbitone at bed time

4 years ago

V

Valter Spanevello

0

Levitiracetam

4 years ago

G

Gideon Domare

0

pjenytoin

4 years ago

B

belal helo1

0

Phenytoin

4 years ago

Answer 1

If her EEG has a generalized spike-wave pattern, Tegretol may be making her epilepsy worse. I will recommend switching her to Levetiracetam { Keppra} or Clobazam {frisium} and weaning off Tegretol. I am assuming she has no lesion on neuroimaging.

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