Conversation: The conversation between human and AI assistant.
[|Human|] My 8 yr old daughter had a pro-longed focal seizure (33 min) in August. She was placed on Trileptal. She has since been getting dizzy spells 5- 7 times a day. They just re-ran another 48 hour EEG while on medicine and she is still having XL spikes in 4 areas of the brain. They made no changes to the medicine. They say its a gray area. They treat seizures not spikes. I thought that the anti-seizure medicine was suppose to reduce or eliminate the spikes. What does the medicine do? What should my next steps be?
[|AI|]  Hello, Thankyou for your quiryBrief.MRI brain needs to be done. Detailed answer... Since first the cause of seizure should be ruled out, for proper treatment, for example, any mass in the brain, ischemic (low blood supply in focal area) change in focal area or family history of epilepsy and pre seizure cerebral infection. For that I would like to ask about MRI brain report. And if it is not done, you may get done after discussing with your doctor. EEG is the test to evaluate electrical spikes, which can be helpful to evaluate the type of seizure so the cause. If cause is known and treated, automatically spikes will come within normal limits. Do ask further  if you have any other query regarding this, it would be pleasured to help. Chat Doctor.