Hello doctor,My 26-year-old wife got her first seizure one year ago and she gets the seizure once every month or two although all her checkups are fine with no sign of epilepsy. The doctor put her on Keppra 500 mg and she still gets her seizures and complains a lot of side effects. I am wondering is it catamenial epilepsy or PNES. Please advise. Of note, we are planning for a baby too.
Hello. Regarding your concern, I would explain that the catamenial epilepsy is a very specific type of epilepsy where a seizure occur every month at the same time closely related to the menstrual cycle. This type of epilepsy is usually refractory to many epileptic  ChatDoctor.  Anyway, the dose of Levetiracetam that your wife is taking is low. If she does not tolerate this  Take care.