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Keppra® is a medicine that is used with other medicines to treat primary generalized tonic-clonic seizures in adults and children 6 years of age and older with idiopathic generalized epilepsy, myoclonic seizures in patients 12 years of age and older with juvenile myoclonic epilepsy, and partial onset seizures in patients 4 years of age and older with epilepsy.
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Generalized tonic-clonic seizures
These seizures have 3 phases:
1.  Tonic phase—the person cries out and falls to the ground. Some seizures have only this phase.
2.  Clonic phase—there is repeated jerking. Sometimes occurs without the tonic phase, but with a short postictal phase (see below).
3.  Postictal phase—the period right after a seizure, which can include fatigue and limpness.
Typically, the generalized tonic-clonic seizure begins without warning. This, combined with falling to the ground and jerking movements, creates a risk of injury. There may be changes in blood pressure, more saliva, and loss of bladder control.
Generalized tonic-clonic seizure
Atonic seizures
Known as a "drop attack," these seizures cause a sudden loss of muscle tone. This may result in dropping of the head or a limb, or lead a person to fall to the ground. That means there is a risk of injury. There also may be a brief loss of consciousness.
Warnings signs—or are they?
Some people with epilepsy know that a seizure is coming. This has been called an aura, and can have many forms. A feeling of pins and needles or a strange taste or smell are such examples. The problem is, these symptoms can occur in a simple partial seizure as well. That's why people are starting to veer away from the term "aura."
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