Six-Year-Old Female With Tonic-Clonic Seizures
Recently diagnosed with photosensitive epilepsy that resulted in tonic-clonic seizures a few months ago, is a six-year-old female who had a normal birth and childhood history -- with the exception of mild asthma. The only familial epilepsy link is a cousin who also has photosensitive epilepsy. Previously, her seizures were well-controlled with daily doses of Keppra.
Today, she presents with an inability to walk due to pain and swelling of the extremities. As her pediatric neurologist, what are your first steps in addressing this issue? Is an allergy to Keppra a likely culprit for her symptoms?