From a history of life with epilepsy and having been through nearly all items you note; my first question would be why is she trying to take him off the Keppra? Adverse reaction, age, growth, diet, not adequete control of seizures? etc. From that point I would seek to understand type of epilepsy classed as, along with age and normal or abnormal growth factors. I note this only because sometimes ones body and growth will exceed others and in so doing have an ability to change many systematic factors. Then of course would be a regular and updated Comp;ete Blood Panel to check for any overages or shortages in the persons blood. An updated Electroencephliagram could evaluate the efficiciency of brain operation to stimulus; noise, lights, do this, that, etc. so as to narrow the gap. Are they getting adequate rest during this growth stage, or using too much energy, so as to be shortened? A video monitoring test is expensive, but may be worth it. They'll attacch electrodes to the skull with about a 50 foot cord. Anything done, whether playing games, eating, taking medicines, being thirsty or even using the bathroom--will note on paper graphs the operation of the respective part of the brain responsible for doing that. From the baseline--blood CBC, EEG, and stimulus before, during or after a seizure help the doctor evaluate the medicince to use or prescribe.

If the person has done well on Keppra, some minor dosage adjustments may be needed. If you are still in doubt, or don't get the doctor to properly explain the reasons for this to you--seek a second opinion and see if there is applicable reasoning for their differences of opinion. I've dealt with epilepsy through 4 different stages and am now 77+ years old. Some may even need to be on a trial and error basis due to the complexity of the brain or triggers that can initiate a seizure. Good Luck.

irvkay312