Personal info Child
- name: Katrina
- sex: Female
- date of birth: 8/3/1996
- country: NY USA
Epilepsy info
- primary diagnosis: Generalized Seizures
- additional: her first diagnosis was absence epilepsy but then it was changed after seeing a specialist on 2/20/03. We have now been told that her eeg showed generalized seizures as of 3/28/03
9/07 Katrina is now having partial seizures
All EEG done after 3/28/03 have came back normal, but she was still having seizures that were not showing up on the EEG because she didn't have them when she was hooked to the EEG monitor.
- cause: We believe it runs in the family
- date diagnosed: 11/25/02
- type(s) of seizures: 11/23/02- had first tonic clonic seizure that lasted for 45 mins. then had six more 3-5 min seizures the next day.
9/07 partial seizures
- frequency of seizures: Unsure becase we never noticed them till she had a really bad one and had to be Hospitalized
9/07 Partials happen 15-30 days apart and she can have up to six of them in one day.
- additional health issues: Was diagnosed with low blood suger in Feb. 2005 we are controling it with diet
Was diagnosed with acid reflux in June 2005 she is taking Zantac 75 for this( no longer taking this drug) 2007 found out she doesn't have acid reflux after all.
1/30/06- Diagnosed as borderline ADHD we will look into medication in the summer
3/08 Sensory disfunction
Medications used (in chronological order)
- Valproic Acid (Depakene, Epival, Sodium Valproate, Orfi)
- still being used: No
- effectiveness: Positive
- max. dose: 1 1/2 teaspoons a day total
- positive effect: no seizures on this med. after med was at correct level the behavior problems started to subside.
- side effects: She wants to eat all the time, is gaining weight, and is also having some problems with aggression.She also can't seem to stay still for long periods of time.
- comments: After a slight dose change in jan we seem to have gained seizure controll. In the side effects department katrina has put on some weight and wants to eat all of the time. one good thing is that she is learning to controll her behavior a little more and is not haveing as many outburst.stopped taking on October 30 2003 when started depecote sprinkels
- Carbamazepine (Tegretol, Carbatrol)
- still being used: No
- effectiveness: Unknown
- max. dose: 2 100 mg tabs a day
- side effects: Unsure about side effects as she just started taking it on 3/26/03.
- comments: We are starting with one 100mg tab a day for one week and then after a week will start giving her 2 100mg tabs a day. two days after starting doctor decided it wasn't the right medication for her.
- Divalproex (Depakote, Depakote Sprinkles, Epilim)
- still being used: No
- effectiveness: Positive
- max. dose: 375 mg in am & 400 mg in pm as of 7/31/
- positive effect: Compleat seizure control untill 12/21/05
Seizures are under control for the most part but each time she has a change in weight, height, hormone level she has breakthrough seizures.
- side effects: She seems to be gaining some weight and is always thirsty. Gets a little more moody then normal.
- comments: started this med on October 30 2003 not sure how well it will work yet.Is working though we have had some breakthrough seizures at this time.
12/21/05- After going through some medication up and downs she had a grand mal seizure and had to be put back on the dose of 250 in am & 250 in the pm.Dose is now at 375mg & 250mg
8/17/09 Dose at this time 375mg & 375mg
Completley weaned off this med in Aug. 2010 after not having a grand mal for 4 years and pitit mal for 2 years.
- Topiramate (Topamax)
- still being used: No
- effectiveness: Negative
- max. dose: max dose will be 75mg a day
- side effects: Katrina took this medication for two weeks and her feet and hands became very swollen so we had to stop the medication.Had an allergic reaction to this med and needed to be removed from it after two weeks on it.
- comments: Not sure how this med will work because she has only been on it one week so far and we are not at the max dose yet.
- Levetiracetam (Keppra)
- still being used: Yes
- effectiveness: Neutral
- max. dose: 500mg in am & 750mg in pm
- positive effect: Controlled partial seizures from end of September 2007 - Jan 2,2008 then we had a set back and had to up the doesage
- side effects: 2 weeks in and we have not had any bad side effects yet. Seems to be a little more emotional latly.
- comments: started this med to replace the topamax, I hope it works and that she doesn't have a bad reaction to it.
8/2010- after a 4 day stay in the hospital for veeg monitoring katrina will now be weaned off the med over the next 6-8 weeks her eeg now shows no seizure activity. the doctors feel at this time that she has outgrown the seizures.
Alternative Treatments (in chronological order)
- Multi vitamins
- details: B6 to help controll the effects of the Keppra.
- still being used: Yes
- effectiveness: Positive
- Folic Acid
- details: She takes 5mg a day now that she is 13 and has started menstrating.
- still being used: Yes
- effectiveness: Positive
- side effects: none
- comments: this is to keep her from becoming anemic.
Personal Notes
Our daughter was diagnosed with epilepsy on november 25 2002 after a brief say in the hospital. On that Saterday she had the first seizure that we had ever noticed and had to be rushed to the hospital by ambulance. Before this happened we didn't eaven know what epilepsy was or that it ran in our family (on my husbands side) The people who had it have since past away and other family members are reluctent to talk much about it. Our daughter seems to be handeling her diagnosis quite well for a child of her age. We as parents were a little stunded but would rather have this diagnosis then some thing that is not so treatable. her seizures seem to be under control for now we have not noticed any since she started the meds. we have however noticed that she seems to want to eat alot more and does have some behavior problems since on this medication.
1/03 Katrina had a recent EEG the results came back normal the meds must be working at this time. She also just had a CAT scan because she was experiancing headaches in one side of her head the results of that were normal with no problems.
2/03 we saw a new nero today and after some more testing (24 hour eeg) hopefully they will come up with the right diagnosis at this time the doctor feels that Katrina has Benign Rolandic Epilepsy.
3/03 After haveing a video eeg done we still have no answer as to what type of epilepsy our daughter has but she did have her medication switched. The eeg came back normal for three days straight.
3/03 the doctor called tonight to say that Katrina had had a seizure while she was in the hospital during the night when she was sleeping. He said that it was a genrelized seizure and not a partial one as he had origianaly thought that she was having. He told us that the tegretol was not a good med for this type of seizure and put her back on the valproic acid.
10/30/03 - We started seeing a new Nero yesteday because ours is moving. We really like the new one. outside of him telling us that our daughter may have ADHD he told us all the same things that the old nero told us. Changed her med to Depecote Sprinkels. Waiting to see how it works on her.
11/28/04 - We saw the nero on 11/23/04 and I informed him that at school the day before Katrina had had some episodes that looked like seizures. She will be haveing a new 72 hour EEG during the week between Christmas and New Years. We will also be taking her to see a pediatric GI doctor to find out if she has some intestinal problems. She is constantly complaining that her belly hurts. Will update when we get more info.
7/20/05 we saw the nero on thursday we are starting the weaning process if all goes well Katrina will be off the medication by the second week in September.
8/2/05 Wean didnt go well and katrina had a seizure. we will be staying on the medication for a while.
12/21/05 Katrina had a cluster of seizure that lasted for 45min. to an hour today. had to be takin to the hospital by ambulance. She will now go back up on the dosing of medication to 250mg in the am and 250mg in the pm. We were at 125 mg and 250 mg it was theriputic at that level but not hight enough to control her seizures. We will see how this works she will be seeing the nero right after the new year.
1/30/06 We saw the nero today he said that when Katrina went to the hospital her med level was 70 she has to have a level of 100 to maintain seizure control. He said that she will be on the meds for two to four more years befor we can try to take her off the meds again. We were also informed that she is borderline adhd and may have to look into medicating her for this in the summer once we know that we have her seizures under control.
7/31/06 After a day of what the nero thinks may be aborted seizures He decided to up the doseage of meds that she is taking at night to 375mg. He said if this doesn't work she will have to have another 72 hour eeg.
9/24/06- Since the start of the new school year Katrina has not been doing well. She stated fifth grade this year in the middle school. The first day of school she had three seizures. She has had five seizures total in the past three weeks. We are do to see the nero on October 19th and hope that we can get this worked out because at this time she is spending more time in the nurses office then she is in class.
8/27/07- We are on the last day of of a 72 hour EEG, My daughter who is now 11 has been having these episodes that present themselfs oneday every 28 to 30 days. They always start with her waking up in the morning not feeling right she will get scared and mumbel that she feels like she is going to be sick though she never throws up she just feels like she is going to, then she will seem a little disoriented and will fall asleep for 20 min to a half hour. She will wake up and be ok for a little while and then it will happen again. She will have up to six of these in that day and then she will be fine for another 28-30 days befor it happens again. I hope this EEG gives us some info to help her.
1/3/08 Well this year has started off not so great Katrina woke up this morning having partial seizures. On November 19, 2007 she started taking Keppra to control them and it was working no seizures till today. Took her for bloodwork this morning and spoke to the nero we will be upping the dose of Keppra at night from 500mg to 750 mg hopefully this will work.
4/14/08 We had some more educational test done and recently found out that Katrina has some sensory disfunction. She will be working with an OT at school once a week for 30 min to help her with this. At this point she has been seizure free for 4 monthes with no med changes. We are keeping our fingers crossed.
8/18/2009 Saw the nero on the 17th at this point Katrina has been seizure free since Jan08. We have till Jan 2010 to go then we will start removing her from the Depakote at a rate of 1 pill a month till she is taking none. Then we will try to remove her from the Keppra. We had blood work done today to check med levels and the other norms when you are on medication. As far as school Katrina did great last year ending the year with a 91.6 over all average. She was in the 7th grade in a 15-1 class, there was 8 children in her class total. She has a great group of teachers and one of the best counselers a student cuold ask for. This year comming up she wil be in a 15-1 one class. Alt PE, and continue to receive OT. We are looking forward to another great year.
1/12/10 Well at this point we go to the nero tomarrow our daughter has now been compleatly seizure free on medication for two years as of Jan 2, 2010. We are going to look into weaning her off all medication I am looking for some input from other parents who have been through this process and how things have went for you. Some info on my Daughter She is now 13 years old, had first grand mal when she was 6 years. She at this time takes Depakote and Keppra to control her seizures. We will look to remove the Depakote first over the next six months and then the Keppra. We are scared for her because we relly do not want her to have anothe seizure but we also know that she would love not to have to take medication every day for the rest of her life. Please ane input that you can give would be great.Decided not to wean till the summer.
6/28/10 Have started the weaning process we will take her off the depakote first over the next 6 weeks then we will admit her to the hospital and hook her up for VEEG monitoring to take her off the Keppra. Keeping our fingers crossed that all goes well. Contact info
For additional information, please send e-mail to Bridget (BEAN1175@MSN.com)