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3rd-line & 4th-line maintenance antiseizure medications: valproic acid , phenobarbital , and fosphenytoin At this point, the remaining options are valproic acid, fosphenytoin, and phenobarbital

The patient stops eating, becomes painful and nauseated during the episode which can be life-threatening

Accurate MS was performed using an Agilent Accurate Mass 6545 QTOF apparatus