Susy is а bright eight yeаr оld whоse tоnic-clonic seizures begаn a year ago as a result of a head injury after a bike accident. Her neurologist prescribed lamotrigine (Lamictal), and unfortunately, Susy has not tolerated the medication well. She falls asleep in class, she has trouble concentrating, and is so tired she comes home from school and naps rather than play with her friends. In frustration, her mother stops her lamotrigine. The next day, Susy has such a severe seizure that an ambulance must be called and she requires IV diazepam to control the seizure. The MOST likely cause of her severe seizure is
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