I'm new to this site but I was in a similiar situation and I'm still sort of. I've had epilepsy since 1990 most of the seizures were small, approximately one or two gran mals a year. Last November while at work I had two gran mal seizures in a row, I eneded up being taken to the hospital, a few weeks later another MRI was done and a benign tumor was found next to the scar I had on my brain. After several more tests were conducted the docs wanted to perform surgery to remove the scar and tumor. I conducted some research on my own, due to negative possibilities resulting from the surgery I wanted to try everything else before opting for the surgery. I was able to get into a study and it has been working great!. After the two gran mal seizures and prior to the study I was up to 3200mg of trileptal, 3000mg of keppra, 100mg of zonegran and .05mg of sodium a day. After the seizures started being controlled by the study drug they would reduce one of my "base meds" and increase the study drug every few months. In each reduction of "base meds" parts of me are starting to come back like memory, speech and my emotions aren't as strong. If I could give any advice, look into the surgery and the negative possibilities then decide, also look into a study, it's been working great for me.