During the video EEG I was "lucky" (lol) and did have 2 seizures (mine are nocturnal) with possibly a third - the doctor is unsure if that one was a seizure or nocturnal stirring although it did have features characteristic of a seizure. There was no EEG abnormality correlated with the seizures which is kind of unfortunate, I guess, because it would have been a little more reassuring in my own mind to know the exact what and where of the problem. Based on the features of the seizure, they have been termed nocturnal frontal lobe seizures, which is what the seizure specialist had suspected all along.
As for the determination of possible over-medication: I began reducing medication for 1 week prior hospital admission (with dr. approval) then for 2 weeks of video EEG I was medication free. During this time seizures were reduced in terms of severity and extent/duration of seizure after-effects, although frequency did not change and still hasn't. The post-seizure symptoms I had when fully medicated were not only general fatigue and "disconnection" but also much like medication toxicity (severe eye sensitivity, dizziness, ataxia, and sometimes verging on confusion). I was susceptible to medication side effects at the best of times, but it seemed they became much worse post-seizure. Now the Drs wonder if over-medication/toxicity made my body more vulnerable to (or sensitive to?) the actual effects of the seizure itself, thereby making seizures more intense (as well as clustering)which in turn made seizure after-effects more intense.
I have been out of the hospital for 5 days and I haven't started the Vimpat yet, although seizures still occur about every 5th night (the last one was 2 nights ago). Right now it feels so great to not have medication side effects; I feel like ME again. Admittedly it is in the back of my mind, though, that during those two weeks I did NOTHING except ride an incline bike for 1/2 hour once a day; otherwise I was lying in bed. So I am wondering if once I am back into the normal swing of things (working out more regularly and heavily, back to my part-time work, and doing the normal every day things) if seizures will pick up again and I'll wish I'd have started the medication. But for now . . . .