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Individuals with epilepsy often demonstrate a diminished capacity for sustained attention, whether from the underlying process or their medications. Some consider the use of stimulants such as Methylphenidate, controversial due to concerns they may lower convulsive threshold. This case report describes a patient with daily intractable seizures despite multiple anti-epileptic agents, with severe impairments in attention, cognition and communication. During an acute inpatient rehabilitationdoi:10.4172/2329-9096.1000312 fatcat:xrdwkol6o5cfvo4jvevlclshru