<s>[INST] Middle of night, sweat profusely, ear ringing so loud, urgent need to urinate, dizzy, heart pounding.  70 yr old, white, female.  Med - Synthroid .125 daily; 1000 mg Keppra (1am, 1pm) seizures due to 3 craniotomies 2009 - removal of meningioma - left frontal lobe. [/INST] Hi, I understand your concern and would explain that your symptoms could be related to a thyroid dysfunction. I would recommend you to check you thyroid hormone levels. You may need to optimize Synthroid dose. A new EEG and brain CT scan for follow up would help exclude possible seizures and the need for higher doses of Kendra (the actual dose that you are taking is a low dose). Hope to have been helpful. Let me know if I can assist you further. Kind regards,  </s>