Seizure History
Complete seizure event tracking and AED regimen history
Total Events
7
Last Seizure
10 Nov 2024
Days Seizure-Free
518
Night
Type
Focal onset at jaw (myoclonic)
Trigger
Possible sleep deprivation
Consequences
No hospitalization. Self-limiting.
Duration
~20 seconds
AED Regimen at Time
Triple therapy: Tegretol 200mg BID + Keppra 500mg BID + Depakine Chrono 250mg BID
Notes
Brief focal seizure. Current AED regimen maintaining reasonable control. Non-convulsive seizures with focal onset at jaw are the typical pattern.
Morning
Type
Focal onset at jaw (myoclonic)
Consequences
No hospitalization. Self-limiting.
Duration
~30 seconds
AED Regimen at Time
Triple therapy: Depakine + Keppra + Tegretol
Medication Changes
Doses adjusted upward
Notes
Brief focal seizure with jaw involvement. First event on triple therapy. Doses adjusted.
Morning
Type
Tonic-clonic (suspected)
Trigger
Baclofen abrupt withdrawal (cold turkey) — recommended by local junior doctor
Consequences
Lost partial sight for 2 days. Hospitalized for 1 week. Significant functional setback.
Duration
Unknown — found post-ictal
AED Regimen at Time
Depakine only (monotherapy)
Medication Changes
Keppra (Levetiracetam) ADDED + Tegretol (Carbamazepine) ADDED → escalation to triple AED therapy
Notes
CRITICAL EVENT: Patient had been seizure-free approximately 9 years (Mar 2015 – Feb 2024) on Depakine monotherapy. The Feb 2024 event was precipitated by iatrogenic baclofen withdrawal, not spontaneous epilepsy worsening. Local junior doctor advised abrupt baclofen cessation which triggered this severe event. Led to escalation from monotherapy to triple AED therapy.
Night
Type
Myoclonic
Trigger
Possible medication non-compliance
Consequences
Resolved spontaneously. No hospitalization required.
Duration
~2-3 minutes
AED Regimen at Time
Depakine monotherapy
Notes
Brief myoclonic episode at home. Patient was seizure-free for extended period before and after on Depakine monotherapy.
Morning
Type
Focal (left temporal slowing on EEG)
Consequences
EEG documented left temporal focal slowing. No clinical seizure observed.
Duration
Subclinical — detected on Video EEG
AED Regimen at Time
Depakine monotherapy
Notes
Video EEG at Continental Hospital, Hyderabad showed abnormal EEG with dominant beta activity (18-22 Hz) and theta slowing (5-6 Hz) over left temporal region. No spikes or sharp waves.
Unknown
Type
Non-convulsive (myoclonic)
Trigger
Post-traumatic epilepsy (subacute phase)
Consequences
Continued AED therapy. Monitored during ICU discharge preparation.
Duration
Brief episodes
AED Regimen at Time
Depakine monotherapy
Notes
Seizure activity noted around ICU discharge. Depakine continued as monotherapy. Patient GCS improved to 10/15.
Unknown
Type
Non-convulsive
Trigger
Post-traumatic (acute phase after RTA)
Consequences
Diagnosed during ICU stay. Complications: Hyponatremia (SIADH), DVT, NSTEMI.
Duration
Unknown (during coma)
AED Regimen at Time
Started on Depakine (Valproate) monotherapy
Medication Changes
Depakine initiated as first AED
Notes
First documented seizure activity during ICU/coma period. Non-convulsive seizures detected. Led to initiation of antiepileptic therapy.