seizures
"17mo old w/ presumed localization related focal partial complex & secondary generalized tonic clonic seizures replaced Keppra w/ Trileptal. Seizure characteristics changed/worsened, frequency & duration increased from every 4-10wks to weekly & from ~10min to ~15-45min w/ severe respiratory distress leading to numerous ambulance transports & hospitalizations. Though not ill, chronic respiratory distress developed such that O2 supplementation was required at 0.5lpm awake & 1.5-2lpm asleep. After >2mo of regular dosage increases following seizures, she was admitted to prolonged Video EEG following transport. Trileptal was weaned & in 3 days no O2 was needed, nothing was captured in 5 days & she remains Trileptal/seizure/O2 free weeks later."