I would agree with tapering of Keppra
Thank you for posting your query.
I have noted the detailed sequence of events, and I am not sure about the genuine-ness of seizures in your case.
At the scene of accident, transient loss of consciousness
can occur with the head injury
In the MRI
room, those episodes could be vaso-vagal syncope
due to pain and discomfort, which could mimic seizures. This happens because pain may lead to temporary drop in heart pumping leading to less blood flow to brain.
So, I am not sure if you ever had seizures. In such cases, a short course of anti-epileptic drugs (30 days) is sufficient. Since you have already completed more than three months, it may be a good decision to try tapering the drug.
) is known to cause behavioural and emotional side effects and you would greatly improve after stopping the medication.
However, before tapering, an EEG should be done to make sure there are no epileptiform discharges. Also, if your previous MRI showed any abnormality in brain, this also may be repeated. If the MRI was normal, there is no need to repeat it.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
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