My husband was having partial seizures about twice a month. An MRI revealed a brain tumor - a benign meningioma in his right temporal lobe. It was completely removed and the area causing the partial seizures treated. He has been weaned off of Keppra by his surgeon, but the neurologist feels he should stay on 1,000 mg and be monitored for awhile. His surgery was the end of March, and he stopped taking Keppra May 12 at the direction of the surgeon. He had a partial seizure the day after the surgery, but none since. Should he resume taking Keppra? Surgeon feels he deals with more of these cases, that a seizure is unlikely, and that the brain should heal medication free, neurologist wants to take precautions in the event he has a partial or full seizure. Recent EEG is normal.
Honestly, this is a very difficult question.
It's a difficult question because a surgeon's job is to cut and correct the medical problem once and for all.
On the other hand a neurologists job is to treat and closely follow ones disorder/disease.
This is where it becomes tricky. A seizure is a symptom of either epilepsy or in your husbands case a benign brain tumor.
In my opinion if your husband doesn't have any serious side effects from the Keppra I see no harm in following the neurologists advice.
Play it safe and continue the Keppra for a while longer. I believe it is best to be safe than sorry.
Although I have never had a brain tumor I do suffer from epilepsy.
If I were in your shoes I would wait another six or so months and continue to take the Keppra as prescribed by the neurologist then I would ask the neurologist to order another EEG. If after the second EEG things were still normal I would then ask to be taken off the Keppra.
Best of luck!
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- Side Effects of Keppra (detailed)
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