EpilepsyMichigan
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2024 Epilepsy Innovation Roundtable
Epilepsy Innovation Roundtable is crafted especially for individuals with epilepsy and their families. But that's not all - professionals will also find great value. Dive into sessions that promise not just insight and education but a front-row seat to the latest advances in the field and thrilling changes on the horizon.
0:00-1:12:33
Medical Innovations: New Frontiers in Epilepsy Care
Anastasia Luniova, MD - Pediatric Epileptologist, Corewell Health Helen DeVos Children’s Hospital
Sanjay Patra, MD - Director of Epilepsy Surgery, Corewell Health West
Moderator: Brian Sterling - Epilepsy Advocate, Anchor, Wood TV
1:12:33-2:09:55
Community Innovations: Creative Solutions to Overcoming Challenges
Maanya Tarnal - Public Health Intern, Epilepsy Foundation of Michigan
Sarah Stempky-Kime - Mother of a child with epilepsy, Member, Board of Directors; Epilepsy Foundation of Michigan, Managing Partner; Christensen Law
Jonathan Cauchi - Inclusion Consultant and Trainer, Disability Advocates of Kent County
Moderator: Brian Sterling - Epilepsy Advocate, Anchor, Wood TV
Website - www.epilepsymichigan.org/
Facebook - epilepsyfoundationofmichigan/
Instagram - epilepsyfoundation_mi
LinkedIn - www.linkedin.com/company/epilepsy-foundation-of-michigan
Here for You Helpline: 1-800-377-6226
Переглядів: 71

Відео

2023 Wellness & Epilepsy Conference
Переглядів 1937 місяців тому
0:00-1:01:14 Breaking Barriers in Epilepsy Research and Therapies Nusha Mihaylova, MD - Adult Epileptologist; Michigan Medicine Garnett Smith, MD - Pediatric Epileptologist; Michigan Medicine 1:01:14-2:03:19 Impact of Cannabis on Seizures and the Brain Gregory Barkley, MD - Adult Epileptologist; Henry Ford Comprehensive Epilepsy Center Jules Constantinou, MD - Pediatric Epileptologist; Henry Fo...
2023 Canton Michigan Turkey Trot for a Cause
Переглядів 298 місяців тому
2023 Canton Michigan Turkey Trot for a Cause
Inspiring Epilepsy Stories
Переглядів 1439 місяців тому
Inspiring stories from the epilepsy community.
2023 Back to School Conference
Переглядів 3010 місяців тому
0:00-54:47 Tools for Assessment: Maximizing the Learning Experience Michael Wolff, PsyD, ABN, ABPDN, Neuropsychologist, BRAINS 54:47-1:45:28 The Importance of Seizure Action Plans Shannon Waid, Education and Outreach Specialist, Epilepsy Foundation of Michigan Jennifer Brown, School Counselor, Bullock Creek School District 1:45:28-1:58:12 Updates on the Seizure Safe Schools Act Brianna Romines,...
75th Anniversary Celebration Video
Переглядів 3611 місяців тому
75th Anniversary Celebration Video
Appropriate Epilepsy Care: From Diagnosis to Lingering Questions
Переглядів 177Рік тому
Whether you have a new epilepsy diagnosis or have lived with epilepsy for a long time, questions emerge frequently, including, “Where should I go for care? How do I find the best kind of doctor for my particular needs?” Sponsored by Michigan Medicine, this General Session at the Wellness & Epilepsy Conference is entitled, “Appropriate Epilepsy Care: From New Diagnosis to Lingering Questions.” D...
Demystifying Brain Surgery from Process to Procedure
Переглядів 100Рік тому
When your care team recommends evaluation for surgery, many questions emerge, including curiosities about the process, the risks, and the possible benefits. Through this session sponsored by the Henry Ford Comprehensive Epilepsy Program, Dr. Ellen Air, Neurosurgeon; Dr. Jules Constantinou, Pediatric Epileptologist; and Dr. Jamal Khattak, Adult Epileptologist, will discuss how candidates are eva...
Optimizing Health Outcomes for Older Adults with Epilepsy
Переглядів 195Рік тому
The Epilepsy Foundation of Michigan has been partnering with Comprehensive Epilepsy Centers throughout the state of Michigan to implement a Healthy Aging Grant, funded through the Michigan Health Endowment Fund. This grant project is entitled, “Optimizing Health Outcomes for Older Adults with Epilepsy.” Dr. Rohit Marawar, Epileptologist from the Comprehensive Epilepsy Program at Wayne State/Det...
Ava the Brave’s Story
Переглядів 131Рік тому
Our friend, Ava the Brave is 18 and has epilepsy. We invite you to learn more about her journey. When you support the Epilepsy Foundation of Michigan, you create opportunities for Ava and her family to be welcomed into our beloved epilepsy community with open arms. And that is why your gift is so important! Please make your gift today knowing you are bringing another big smile to someone like A...
Epilepsy Foundation of Michigan - We Are Here For You
Переглядів 393Рік тому
Stories of families living with epilepsy and how, with your support, the Epilepsy Foundation of Michigan is here for you. Learn more at epilepsymichigan.org/ or call 1-800-377-6226
Joy D. Calloway on the Epilepsy Foundation of Michigan
Переглядів 54Рік тому
Hear from Joy D. Calloway, MBA, MHSA, on her daughter's journey with epilepsy and how the Epilepsy Foundation of Michigan was there every step of the way. Learn more at epilepsymichigan.org/ or call 1-800-377-6226
2022 Back to School Conference
Переглядів 124Рік тому
2022 Back to School Conference
Older Adults & Epilepsy
Переглядів 152Рік тому
Older Adults & Epilepsy
Bonus Sessions - 2022 Upper Midwest Rare Epilepsies
Переглядів 159Рік тому
Bonus Sessions - 2022 Upper Midwest Rare Epilepsies
2022 Upper Midwest Rare Epilepsies Conference
Переглядів 316Рік тому
2022 Upper Midwest Rare Epilepsies Conference
2022 Epilepsy Innovation Conference
Переглядів 9462 роки тому
2022 Epilepsy Innovation Conference
Happy New Year!
Переглядів 772 роки тому
Happy New Year!
Evelyn's Epilepsy Journey
Переглядів 2122 роки тому
Evelyn's Epilepsy Journey
Staying Safe with Seizures: Erica Austin, DO; Munson Healthcare Neurology
Переглядів 2822 роки тому
Staying Safe with Seizures: Erica Austin, DO; Munson Healthcare Neurology
2021 Wellness & Epilepsy Conference
Переглядів 3472 роки тому
2021 Wellness & Epilepsy Conference
Managing Your Epilepsy: Transition Tips for Teens
Переглядів 1552 роки тому
Managing Your Epilepsy: Transition Tips for Teens
Integrative Medicine in the Management of Epilepsy: Tyson Burghardt, MD; Michigan State University
Переглядів 1522 роки тому
Integrative Medicine in the Management of Epilepsy: Tyson Burghardt, MD; Michigan State University
Virtual Back to School Conference 2021
Переглядів 1072 роки тому
Virtual Back to School Conference 2021
Psychiatric Medications and Epilepsy - Jules Constantinou, MD; Henry Ford Health System
Переглядів 1812 роки тому
Psychiatric Medications and Epilepsy - Jules Constantinou, MD; Henry Ford Health System
Program Spotlight: Children's Special Health Care Services - Lisa Huckleberry, Parent Consultant
Переглядів 622 роки тому
Program Spotlight: Children's Special Health Care Services - Lisa Huckleberry, Parent Consultant
Public Policy Advocacy to Benefit the Epilepsy Community: Laura Weidner, Esq. & Rachel Patterson
Переглядів 733 роки тому
Public Policy Advocacy to Benefit the Epilepsy Community: Laura Weidner, Esq. & Rachel Patterson
Upper Midwest Rare Epilepsies Conference, Day 2
Переглядів 753 роки тому
Upper Midwest Rare Epilepsies Conference, Day 2
Upper Midwest Rare Epilepsies Conference, Day 1
Переглядів 2323 роки тому
Upper Midwest Rare Epilepsies Conference, Day 1
Epilepsy and Intellectual Disability - Beata Ruprecht, DO and Hussam Shaker, MD
Переглядів 3913 роки тому
Epilepsy and Intellectual Disability - Beata Ruprecht, DO and Hussam Shaker, MD

КОМЕНТАРІ

  • @JudithAnn-to9lv
    @JudithAnn-to9lv 10 годин тому

    Going gluten free, sleeping with the head of the bed elevated, and taking Taurine helps a lot.

  • @JeromeHebert-pm4lp
    @JeromeHebert-pm4lp 18 днів тому

    Thank you for your time and energy and the opportunity to learn more about this terrifying disease. I began having seizures in2016 and am now even more afraid of the meds "benzos". Which is worse?

  • @user-hv1pm1cg7q
    @user-hv1pm1cg7q 2 місяці тому

    Specific reason I don't wear a Med alert bracelet? I don't know whare/ how to get one!

  • @elizabethsnyder9678
    @elizabethsnyder9678 3 місяці тому

    It good to have a planned pregnancy talking with your spouse and doctor

  • @racheldehaan2760
    @racheldehaan2760 4 місяці тому

    This was so helpful as an epileptic

  • @Dahstin5311
    @Dahstin5311 5 місяців тому

    I'm a bit late but I do have some questions and info about my past that might help. general info: I have nocturnal seizures that, as far as we know started at 18, I'm 29 now. My father has grand mal seizures that started when he was 18. I was told my left frontal had the most activity in a test and it was later on said to be centrencephalic. Along with the seizures I sleep walk. I also have some type of aphasia. past: stayed up late constantly, various common drug use including psychedelics from 14-18 years old, and near death experiences as a child. questions I've already asked my neurologist that haven't been answered or always forget to ask: I've been told my aphasia came from the seizures, will it get worse and is there something similar to that for reading? There are short instances where I feel like I have dyslexia now. Every time I tried melatonin I would have a seizure. If melatonin was the reason for the seizures, why would that be? overload maybe? plus if I can't take that what would be safe to take? Would nightmares and or stress activate seizures since both also activate panic? Why would left frontal get changed to centrencephalic? I didn't sleep walk before the seizures. The sleep walking was ridiculous. There were times where I'd wake up fully clothed at work. Would the seizures I have bring the sleep walking about or would stress be the more likely cause? (Don't worry the sleep walking stopped after being medicated and I have things to stop me if it were to happen again).

  • @kartikpandey7412
    @kartikpandey7412 5 місяців тому

    I have a deep sleep seizure Night majority even if i sleep in day once it was happen How to overcome from this

  • @jeanward9984
    @jeanward9984 6 місяців тому

    Grief can affect your heart and if you stuff your feelings and problems deep down inside like a trash compactor, it manifests itself physically into these seizures. I can explain it better!

  • @jeanward9984
    @jeanward9984 6 місяців тому

    It’s all mental and meds are not necessary. You do not treat a mental suppression problem with mental suppression drugs! It’s a waste. Please start sending patients to an exposure therapist!

  • @jeanward9984
    @jeanward9984 6 місяців тому

    They don’t understand what I understand about these seizures and they can’t give you the results that I can. I am already an expert on mental suppression and I can help PTSD symptoms using hypnosis.

  • @jeanward9984
    @jeanward9984 6 місяців тому

    If you have PNES, please see a licensed therapist who specializes in exposure therapy or you can ask me!

  • @jeanward9984
    @jeanward9984 6 місяців тому

    These seizures are from mental suppression across the board no matter what is causing it. My data and methods speaks for itself.

  • @jeanward9984
    @jeanward9984 6 місяців тому

    I am from Michigan and I have been studying PNES for years now and I have constructed new ways of exposure therapy that cures these seizures.

  • @Victoria-mo8xf
    @Victoria-mo8xf 7 місяців тому

    Is this the only video with the doctors from that day speaking?

    • @EpilepsyMichigan
      @EpilepsyMichigan 3 місяці тому

      Yes, we don't have recordings of the breakout sessions, unfortunately. Thanks for watching!

  • @BIOLAOSIFESO
    @BIOLAOSIFESO 9 місяців тому

    I found it very useful; Thank you.

  • @wilburjacobi
    @wilburjacobi 9 місяців тому

    "promo sm" 💪

  • @XjtBA
    @XjtBA 11 місяців тому

    I had my first nocturnal seizure when I was 26. I was put on Dilantin and slowly was weaned off of it after 2 years. I then had another seizure. I was on Dilantin for 20 years and purposely did not have children because Dilantin was known for causing birth defects. Every EEG after my first one showed normal brain function. I was told I had seizure disorders, not epilepsy. I also lived in a very old house with a lot of dust. And I was in a very stressful marriage. I divorced, moved out of state, and slowly weaned myself off of the Dilantin. I am now 69 years old, happily remarried, and haven’t had a seizure in over 30 years. I always wondered if my nocturnal seizures were from the dust in the older home, perhaps from the air ducts not being clean, and the stress from an unhappy marriage.

    • @novinaruales7539
      @novinaruales7539 10 місяців тому

      GOD bless im so happy that u overcome your seizure hopefully i also overcome my seizure in the night. nd for how many years until now I always pray to GOD above to lift me up in this kind of disease. what do u do to overcome ur seizure

    • @XjtBA
      @XjtBA 10 місяців тому

      @@novinaruales7539 I think my nocturnal seizures were mostly caused by stress from an emotionally abusive marriage. After my divorce, I SLOWLY weaned myself off. But seek a Doctor’s advice to see what is causing your seizures, and see what he recommends. Do NOT ever go off your medication cold Turkey!

    • @mataperro818
      @mataperro818 5 місяців тому

      @@novinaruales7539how?

    • @mataperro818
      @mataperro818 5 місяців тому

      What was wrong with your home? I might be going through the same

    • @XjtBA
      @XjtBA 5 місяців тому

      @@mataperro818 it was over 40 years ago, and it was a home built in 1918. I was young and knew nothing about air ducts and cleaning them. I do remember dust would build up very often even after dusting the day before. I now wonder if the ducts needed to be cleaned and if years of breathing dust, especially at night, proved toxic. Best to get your home checked.

  • @crystalboyd7455
    @crystalboyd7455 Рік тому

    I have post ischemic stroke epilepsy. I’m on 2000 mg a day plus 150 of limictal. Auras not controlled. Effecting my weight poorly.

  • @tonymackenzie9282
    @tonymackenzie9282 Рік тому

    Vac ci ne damage fu#k the government

  • @willowithywindle
    @willowithywindle Рік тому

    Thank you

  • @irshadahmad5022
    @irshadahmad5022 Рік тому

    Video watching . From #Indian side of . #Kashmir #India . . # 🇸🇦 🇵🇰 🇮🇳 🥰

  • @irshadahmad5022
    @irshadahmad5022 Рік тому

    🇺🇲

  • @irshadahmad5022
    @irshadahmad5022 Рік тому

    🇮🇳 🇵🇰 🥰 ❤️ 🇸🇦

  • @colins7771
    @colins7771 Рік тому

    Good video, thanks. I have epilepsy, they thought I was having PNES for a long time, and then out of chance when I was having an EEG in the emerge one day I had an epileptiform seizure my neurologist could see and I got a phone call later that day or the next day telling me I had epilepsy... and that was such a huge relief (as ridiculous at that sounds at this point) that there was finally something that could explain why I was having so many seizures for at least a year at that point. Epilepsy sucks for sure, but my seizures are pretty under control now after trying out so many different meds and combinations of them, I take Lamotrigine and Lacosimide... I don't have big tonic clonic ones anymore which is good, and I only have partial or complex partial ones once a month basically one day a month (usually at the beginning of the month) Ill have a bad day where I have a bunch in clusters throughout the day. Still hard for my neurologist to explain for sure, and ive spent one session in a monitoring unit, they took me off all my meds and I only had two of the smallest ones ever that I didnt even notice... so that wasnt effective. Still on the waiting list to go into one again. I wish everyone else out there suffering from epilepsy the best life moving forward.

  • @JoseRodriguez-wl9uj
    @JoseRodriguez-wl9uj Рік тому

    I'm 50. I was diagnosed with nocturnal epilepsy about 13 years ago. After going without for 11 years, last February and just last week, I had them. I recall the postictal from last year. I thought it was bad. The one I had last week was much worse. Every muscle in my body from head to toe was sore, headache, body felt heavy when I walked, balance issues, weird sensation in the front of my head/mind. These symptoms lasted until this past Tuesday. If someone here wants to study me, please do.

    • @EpilepsyMichigan
      @EpilepsyMichigan Рік тому

      Hi, Jose. That sounds really difficult. I'm sad to hear that these seizures are back. If there is any way we can be of support, please feel free to contact our Here for You Helpline at 800-377-6226. Here for you.

    • @ernie7071
      @ernie7071 7 місяців тому

      @@EpilepsyMichiganMy brother experience same thing, i need help

  • @kineticfx9331
    @kineticfx9331 Рік тому

    Are there permanent cures to nocturnal seizures?

    • @reneeroederer9285
      @reneeroederer9285 Рік тому

      What we always hope for are the best possible interventions for a given person having nocturnal seizures -- medications or surgery -- so that people can become seizure free. About 2/3 of people can become seizure free on an anti-seizure medication or multiple medications, but sadly about 1/3 of people continue to have seizures.

  • @nattytwe
    @nattytwe Рік тому

    Beginning at age 50 okay?

    • @reneeroederer9285
      @reneeroederer9285 Рік тому

      Hello there, Natalie. My name is Renee Roederer, and I'm the Community Care Director for the Epilepsy Foundation of Michigan. I would encourage you to bring your question to your doctor(s). Rather than age, I think the most important thing is pondering how cannabis might impact your particular body, and that would be a good question to have with your medical providers.

  • @ollystogden5799
    @ollystogden5799 Рік тому

    🄿🅁🄾🄼🄾🅂🄼 🤭

  • @phantombunny
    @phantombunny Рік тому

    this guy is a moron, he doesn't know that a lot of the so called side effects of cannabis are made up? It didn't occur to him that a racist "reefer madness" campaign that sought to put thousands of black people in jail wasn't interested in the truth of cannabis or whether or not people with epilepsy were taking it which they were at the time. No, cannabis doesn't cause problems with learning and memory. I've used it for years for epilepsy, I've never had a problem with learning or memory. I'm either smarter than Einstein if not for the wicked weed, or you can count it interfering with learning and memory as part of reefer madness.

    • @phantombunny
      @phantombunny Рік тому

      I mean, I feel really bad for the medical and math grad students I've beaten at Go, if my learning and memory were really gone, then they must be really bad. But no I can play a game that takes memory and learning and be better than most people at it. Although by no means the best.

  • @cynthiateasley7066
    @cynthiateasley7066 Рік тому

    Thank you sharing your wonderful experiences ❤💕🙏life living with epilepsy have epilepsy am older my heart goes out your families and others it's not easy 😢hard it's a journey since found out epilepsy very Strong your People in inspiring 💙❤God bless ❤💙All AMEN

  • @ajdynamo6866
    @ajdynamo6866 Рік тому

    There may also be jobs you really want to work in like gardening for the city but they require a driver's license. No exceptions because they may need you to drive trucks weather you're actually guaranteed to or not.

  • @ajdynamo6866
    @ajdynamo6866 Рік тому

    It's tough when you don't fit under the threshold for SSI but you're still having seizures that can pop up unexpectedly and put you on the shelf for 3 or more days. May go 5 months without having one, might go a few weeks. But the unpredictability makes it inconsistent so you don't qualify.

  • @kenjennings3254
    @kenjennings3254 Рік тому

    Mine I believe always start at the bed. A commonality is I always laid down with a lot of milk chocolate. I was hospitalized and put on Kepra. Came home and seized. As well after consuming cannabis for 50 years I had slowed way down on smoking. The neurologist said High’s and lows of cannabis can be a trigger. So I have just been using a cannabis infused olive oil. Thank God so far on just CBD I have been OK. Peace be with you all.

    • @kenjennings3254
      @kenjennings3254 Рік тому

      Wish the cannabis worked but I had nine one day back to the hospital I went. Don’t remember any of it. Cannabis might work but the dosing I don’t know. Cannabis does not go well with anti seizure meds. Felt really strange when I had a hit the other day.

  • @jholson03
    @jholson03 Рік тому

    So well presented. Dominic’s Aunt Sally

  • @michaellaforte6964
    @michaellaforte6964 Рік тому

    What are the significant differences between an epileptologist and neurologist? We’ve been seeing a pediatric neurologist for our son for the past 2 years, but are there benefits to seeing an epileptologist instead or in addition to?

  • @wendyokoopa7048
    @wendyokoopa7048 Рік тому

    I'd love to trigger someone's photosensitive epilepsy just so I can look he/she's dancing.

  • @kimberlybrown9444
    @kimberlybrown9444 Рік тому

    How can I get a watch that detect seizures

    • @EpilepsyMichigan
      @EpilepsyMichigan Рік тому

      Kimberly, here is a link to the empatica Embrace 2 seizure monitoring device: www.empatica.com/embrace2/

  • @fungaming7035
    @fungaming7035 Рік тому

    I'm from Manipur, India. I've been suffering from nocturnal seizure, I'm also a sleep walker in my childhood days. My first time seizure experience was in 2016, 2nd time is 2017,and 3rd in Dec 2021. My doctor (neurologist) gives some medications i.e topiramate and levetiracetam since 2016 sometimes lowered the medications milligrams. That control from seizure. But I can't stand or walk for a long time, due to my back pain,my doctor said it's because of my seizure, sometimes I use painkiller to lower my sore in back. Please give me some advice/tips to get rid of this back pain. 🙏🙏🙏

  • @lajuanjohnsonbtc9634
    @lajuanjohnsonbtc9634 Рік тому

    A really good video except for where she tried to say keto was in the bible

  • @conniemcadam4216
    @conniemcadam4216 2 роки тому

    I've been diagnosed with Idiopathic Generalized Epilepsy with Phantom Absences, what is the best anti-seizure meds to take? I'm 70 years old & also have essential tremors

  • @yvetteb.6890
    @yvetteb.6890 2 роки тому

    Thank you for this valuable resource. I'm reviewing my literature review #PHD

  • @andresmorales5301
    @andresmorales5301 2 роки тому

    I was diagnosed w frontal nocturnal seizures about 6 years ago. Was under control using lamotragiene 100mg er for 5 years. As of a year ago i started to feel super tired every day. No change in diet or exercise ( 27 years old 205lbs 6ft). The last 3 months i have been wetting the bed 1-2 times a month. Assuming this was a seizure i went to neurologist. He order blood work and came back at 1 for my lamotragiene level. He doubled my dose and i continue to have these bed wetting and extreme tiredness. Im trying to seek 2nd opinions but its impossible to get an appt. Im terrified by sudep and want to get this figured out. If you can help i would appreciate

    • @EpilepsyMichigan
      @EpilepsyMichigan 2 роки тому

      Hello, Andres. My name is Renee Roederer, and I'm the Community Care Director for the Epilepsy Foundation of Michigan. Thank you for connecting with us about this. I'm sad to hear that you've been experiencing this, and that it's been raising questions and causing stress for you too. I'm wondering if you might give us a call at 1-800-377-6226. We could talk about this in more detail, and we could recommend some places to go for a second opinion. We'd be glad to do that. -- Renee

  • @KatJ3st
    @KatJ3st 2 роки тому

    I have a venous malformation that is suspected to be the cause of these N/S. My night seizures are triggered by high stress in my life. Recently I lowered my medication and had a seizure during the day - with no added stress in my life at the time. Most calm day, not a care in the world. I know there's not a neurologists out there that can figure out why it happened other than my brain is now dependent on medication.

  • @3jujuann
    @3jujuann 2 роки тому

    My grandaughter who 16 she suffers from non eliptic sezuries they say it do with her having FND but no ones wants to help her here in uk

  • @quentinmoten8871
    @quentinmoten8871 2 роки тому

    I believe that it should be a crime to provoking someone who suffers from epilepsy disorder to go into a episode because no a day's the police system only knows of being high on illegal drugs and are quick to assume that someone who has epilepsy are on a oxycodone and zanex or molly high when it's not that at all. They need legal protection as well as any other person.

  • @sandrapg88
    @sandrapg88 2 роки тому

    He's the best.

  • @dennisharold5030
    @dennisharold5030 2 роки тому

    I have tested many CBD oils. I think the CBD from Weedborn is the absolute best.

  • @shantellamend8986
    @shantellamend8986 2 роки тому

    It's good to see Weedborn have new CBD products that will save me money and energy to heal myself.

  • @christyswan8866
    @christyswan8866 2 роки тому

    Thank you so much for providing this educational video. It has been so helpful regarding a medical condition that can be so agonizing and medical doctors and hospitals that lack knowledge, compassion, and medical training to identify, diagnose and treat people suffering with PNES! GOD Bless you all!🙏🏾

  • @maryjanemoore-lx1lg
    @maryjanemoore-lx1lg 2 роки тому

    I’ve had 5 seizures back to back in my sleep non provoked. ,, seizure free for 4 years,,,, should I still be on my medication? Lemotrigen ?