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Dinner before 7 p.m

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Important: After administering levetiracetam, if seizures persist for another 20-30 minutes, this becomes REFRACTORY SE propofol or midazolam infusion + EEG monitoring + ICU admission + consider aetiology (CNS infection, autoimmune encephalitis, stroke, toxic/metabolic)

Neurodegeneration is heterogeneous

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