Popis: |
GS is a 37-year-old female former clerical worker who had been treated for epilepsy since infancy with no significant periods of remission despite multiple trials of anticonvulsants including phenytoin, carbamazepine, sodium valproate, vigabatrin, gabapentin, lamotrigine, and oxcarbazepine. Her first episode of psychosis was at the age of 26 after commencing topiramate, which was withdrawn. Oxcarbazepine at the age of 27 caused dizzy spells and no useful reduction in seizure frequency and was switched back to carbamazepine. By the age of 28, her seizure frequency was 15 complex partial seizures per month, her mother would not leave her unattended due to wandering, and she was placed on a permanent Invalid’s Benefit. |