Thank you for your query.
The high ESR
and CRP suggest infection which is the cause of encephalopathy
in your daughter. Topomax
has been prescribed to prevent any convulsions which can occur in encephalopathy. It is not the cause of encephalopathy. Encephalopathy is causing confusion and trouble finding words in your daughter.
I hope I have answered your query to your satisfaction.
Wishing your daughter an early recovery.
Rajiv K Khandelwal