My 6 year old had a grand mal seizure for the first time ever two weeks ago. She ended up at the Children’s Medical Hospital in Dallas. All test game back good, except for the EEG, but it was only slightly abnormal. Last weekend, she fell while playing and hit her head on the table. She was very upset (unusual for her) and started having shaking seizures several hours later that lasted 5-20 seconds. She throw up with each seizure. She probable had about 10 of these over 3-4 hours. The seizures stopped on there on in the emergency room. The emergency room put her on Keppra, that is when the real nightmare stared. She stopped sleeping, had wild mood swings, hallucinations, rage, screaming and attaching (no behavioral problems ever before this). She would hug me for an hour at a time, and leave blood scratch marks on my back. Anxiety was very high. We took her off the Keppra (a call to the children’s hospital confirmed to do this). She was on it only three days, and I would say hardly slept. When we took her off, at night she sleep talked and trashed a lot, and hallucinated, but that was a lot better than before. Question 1: After a Grand mal seizure, can you have smaller “after shook” seizures, especially after hitting your head? How long till you “heal” from a Grand mal seizure? Question 2: We will hesitate extremely before putting her back on medication, the effects of the Keppra were worse than the smaller little seizures she had. But if we are forced to go with medicine, what is the best for a child like this? Should we wait to see if the seizures start up again before deciding on medicine?