Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Epilepsy / July 2004

Tip: Looking for answers? Try searching our database.

Need Your Advice, Insight, Experience - keppra, topomax, lamactil

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Bill - 12 Jul 2004 19:15 GMT
Hello,

Here's a brief history.

My daughter, now 14, was diagnosed with photo convulsive seizures when
she was in 3rd grade.  Her eyes would roll upwards and flutter.  It
progressed to where her head and neck would move also.  It could
happen several times a minute with each flutter only a second.   She
was put on depakote and experienced complete control.

After 5 years, neurologist decided to wean her off medication to see
if she had outgrown seizures.  She was given a sleep deprived EEG
(without photic stimulation ?)  Nothing showed up on EEG.  She was
weaned off medication and a month later has a tonic-clonic (grand mal)
seizure.  The seizure occurred in the early morning after a sleepover
while on a computer.

She was put on klonopin.  Seizures were completely controlled.
However, she experienced severe side effects from klonopin (confusion,
depression, inability to think clearly and quickly).  Neurologist
dismissed our concern over side effects and offered to prescribe
anti-depressant.

We sought out new neurologist.  He immediately began weaning her off
klonopin.  Within two weeks her clearness and alertness were evident
to her and us.  She had another tonic-clonic seizure, again while
working on the same computer.

She had EEG 3 days later, nothing showed.  We are continuing to wean
her off klonopin.  She feels so great that she wants to try to see if
avoiding computer monitor (we now have LCD panel) will prevent
seizures.  Neurologist agreed that this was a legitimate option.  If
she begins to feel seizures coming on (she feels eyes begin to "lock"
briefly days before both seizures) or we see return of eye flutters we
will begin medication.

Neuro has suggested keppra, lamactil, topomax.  Daughter did not like
the weigh gain from depakote, but that is an option.

Does anyone have any experiences or insight they could share?

I appreciate any advice you may offer.  Thank you for taking the time
to read this long post.

Bill
Marco - 12 Jul 2004 19:57 GMT
> Hello,
>
[quoted text clipped - 41 lines]
>
> Bill

Hello,

I do not have experience with photo sensitivity seizures but I have read
many postings on the Internet and this support group that LCD screens may
help to prevent seizure. You may also want to have a look at the screen
resolution if it has been configured correctly.

Hopefully the situation will improve so that your daughter does not have to
start medication again. Let us know how it goes.

Best of luck.

Signature

Take care.

Bye,
Marco

Michael - 13 Jul 2004 01:18 GMT
Of the options mentioned, you might want to consider
Lamictal ot Keppra; Topamax can cause some cognitive
issues.

Good luck!

Michael

> Hello,
>
[quoted text clipped - 41 lines]
>
> Bill
Raistlin - 18 Jul 2004 08:18 GMT
hi bill,
i don`t have experience on topomax, but on keppra and lamictil,
though.
personally i would suggest lamictil, because it works for more
different types of seizures. it *may* have some side effects like
double vision etc. - but any medication has the possibility of side
effects, they're don't happen necessarily.

raist

> Hello,
>
[quoted text clipped - 41 lines]
>
> Bill
Theo - 18 Jul 2004 09:13 GMT
> hi bill,
> i don`t have experience on topomax, but on keppra and lamictil,
[quoted text clipped - 51 lines]
>>
>> Bill

Keppra is always used in addition to other meds. At least thats what my
neurologist told me when I was put on it to control partials I was having
(Tegretol was/is used for the major stuff). The thing that was most
noticable about Keppra were the mood swings. I was told it might happen.
For awhile I was more argumentative and defiant. But I adjusted to it in a
few weeks and back to myself again as I adjusted to the changes. It still
pops up again from time to time. Also, just my opinion, but treating
problems caused by meds by using more meds isnt much of a solution.

About the computer monitor, in addition to whats in the earlier post,
always make sure background lights are on. The same goes for watching TV.
It cuts down on eye strain. Im no doctor but I have heard that eye strain
contributes to the problem. I have had the occational partial at the
computer, and the content on the screen were static like a ms word,
photoshop, and all that stuff. So despite all the warnings on Nintendo
games and the like, its not so much about whats on the screen so much as
how it operates and under what conditions its being used. Also, many people
like those really small font sizes to get more on the screen at one time.
Keep the size reasonable as smaller fonts also contribute to eye strain.
bugs@bugs.com - 18 Jul 2004 14:41 GMT
I take Topamax and Mysoline and have no side effects from the Topamax,
however I would not recommend putt a 14 year old on it. I have been on meds
for 32 years now and can handle just about any thrown my way. I have a good
friend that has a son age 9 that has the same type seizures you described.
His started at age 6, I am not sure if they are Photo convulsive but he does
the same things as your daughter before she was on the Depakote. He was put
on Keppra and is under complete control. He had a slight problem with mood
swings for a short period while getting adjusted to the meds but he came
through it just fine. He is now a very active you man and his doctor is in
the process of taking him off his meds as well. I am not really sure I agree
with this but hey I only have the seizures I am not a doctor........they
sometimes concern me.

Signature

I wish you all the best

Tim W

www.onepest.com

Eric - 18 Jul 2004 19:58 GMT
> Hello,
>
[quoted text clipped - 41 lines]
>
> Bill

Bill,

I have photosensitive epilepsy, as one of many other triggers for
seizures. I'm told that only 3-5% of epileptics have photosensitive
epilepsy, and I have found that many neurologists do not know much
about treating it.  I take Lamictal and Keppra, along with Ativan when
auras (simple-partials) bother me.  Lamictal and Keppra are quoted by
my neurologist as "a dynamite combination." I have experienced massive
tonic-clonic seizures from using computer monitors.

It is stated that it takes both eyes on the screen to trigger a
seizure, so I tried an eye patch and it works. The only problem is
eye-strain, which I simply overcome by switching eyes.

Best wishes,

Eric
Theo - 18 Jul 2004 20:24 GMT
snapnturtle2004@yahoo.com (Eric) wrote in news:fc7314f5.0407181058.3ffb02b8
@posting.google.com:

> It is stated that it takes both eyes on the screen to trigger a
> seizure, so I tried an eye patch and it works. The only problem is
> eye-strain, which I simply overcome by switching eyes.

I never heard that. Do you know why it helps? Since I use computers all day
Im quite interested :-)
Bill - 19 Jul 2004 15:07 GMT
Thanks to all of you for taking the time to read my email and respond.
I'll pass on the hint about closing or covering one eye to my
daughter.  Thanks!

We are continuing to taper off the klonopin and are watching for any
changes.  She has spend time on the LCD monitor (in well lit room)
with no problems.

Thanks for the input.

Bill
Eric - 19 Jul 2004 21:00 GMT
> snapnturtle2004@yahoo.com (Eric) wrote in news:fc7314f5.0407181058.3ffb02b8
> @posting.google.com:
[quoted text clipped - 5 lines]
> I never heard that. Do you know why it helps? Since I use computers all day
> Im quite interested :-)

It occurs from the central area of vision as seen by both eyes. I
found this out from http://www.nfld.net/epilepsy/laephotosensitive.html

Hope it helps,

Eric
Theo - 20 Jul 2004 02:17 GMT
>> snapnturtle2004@yahoo.com (Eric) wrote in
>> news:fc7314f5.0407181058.3ffb02b8 @posting.google.com:
[quoted text clipped - 13 lines]
>
> Eric

Thanks

I was never told that I was photosensitive, but I have had occational
problems in bright sunlight when I wasnt wearing a hat. I started to
because of my growing bald spot (ugh!). That probably helped.
Chris Lesurf - 19 Jul 2004 23:08 GMT
I have been on Lamictal since before it was a trade name and found the
main side effect was getting little bumps like tiny warts all over my
body. It may also have been one of the causes of my memory trouble.
Keppra caused fluid retention which not only caused weight increase but
carpal tunnel syndrome (when the nerve in the arm is compressed and
becomes very sensitive but the arm feels numb or is painful to use).

Changing from carbamazepine (Tegretol) to Lamictal made me feel less
sleepy but I still have weeks when I feel sleepy a lot of the time and my
concentration is bad.

Chris L.

<813f5040.0407121015.5768664a@posting.google.com>,

> Does anyone have any experiences or insight they could share?

> I appreciate any advice you may offer.  Thank you for taking the time
> to read this long post.

> Bill
Eric - 21 Jul 2004 19:54 GMT
> I have been on Lamictal since before it was a trade name and found the
> main side effect was getting little bumps like tiny warts all over my
[quoted text clipped - 17 lines]
>  
> > Bill

I have taken Lamictal for 3 years.  It caused insomnia and real bad
tremors, especially in the hands and head. I have had memory troubles
as well. When my seizures were still not fully under control after 2
months, my neurologist put me on Keppra, and then tapered the Lamictal
down to where the side-effects of tremors were not as bad.

Tegretol never fully controlled my seizures, as well as Dilantin.
Neither were effective much at all when I stopped taking them,
especially since I had taken Tegretol for 15 years.  Neurontin made me
break out in acne, even though I was in my early thirties at the time.
Depakote gave me anemia.

It is said by my neurologist and by the Physicians Desk Reference that
Keppra is meant as a supplement to your main anti-seizure medication.
Keppra is meant to be added on as an extra control for partial
seizures.

Keppra and Lamictal combined are the only medications I have ever
taken that fully controlled my tonic-clonic and partial seizures.  Now
my only problem is the auras (simple partials) that I treat with 1.5 -
2 mg. of Ativan (Lorazepam) as needed, which knocks me out for several
hours.

Lower blood sugar (I have hypoglycemia) is another trigger for
simple-partials.

Eric
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.