Cluster seizures

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Here's my compiled information of my dogs seizure routine.

Seizure History Summary – 34 lb Female Beagle

Current Medication

\- Keppra ER (levetiracetam) 750 mg

\- Rescue seizure medication available at home.

Main Concern

My dog continues to have breakthrough cluster seizures despite Keppra ER. I have noticed a very consistent pattern before nearly every seizure and am wondering if these episodes could represent focal/autonomic seizures or if there is a gastrointestinal trigger lowering her seizure threshold.

Typical Sequence of Events

1. Begins repetitive lip licking.

2. Repeated swallowing/throat movements and gagging/dry heaving.

3. Appears fully conscious and responsive but becomes very fearful and starts trembling.

4. Tries to eat grass.

5. Grass causes vomiting.

6. After vomiting, she stands still for approximately 10 seconds while shaking.

7. She suddenly sprints.

8. She develops generalized cluster seizures.

Important Observations

\- I have never observed a seizure without vomiting first.

\- If I prevent her from eating grass and vomiting, she has not gone on to develop her typical cluster seizures.

\- I do not believe the grass itself is causing the seizures. I believe she is eating grass because she feels something abnormal beforehand and wants to vomit.

\- High excitement or stress (for example, anticipating a car ride) has also caused the same pattern: stomach upset → vomiting → seizure.

Feeding Pattern

Previously:

\- Food was available all day (free feeding).

\- She appeared to have fewer seizures, and when they occurred they were typically limited to a maximum of two. And happened every couple of months. Around 3-6 months apart.

Currently:

\- Switched to scheduled meals after moving.

\- Breakfast: approximately 5:30 AM on weekdays (7:00 AM weekends).

\- Dinner: approximately 7:00 at night.

Since changing feeding schedules, I have noticed:

\- Seizures occur before breakfast, late afternoon after many hours without food, or just before dinner.

\- I have not observed a seizure within a few hours after she has eaten.

Questions

1.it wont allow me to ask the question I want to but please see my profile and I have another post to includes the questions.

Also she gets her KEPPRA meds at 7am and 7 at night.

My goal is to reduce or prevent these seizures rather than only treating them once they start.