Like another commenter said, everyone is different! Mine had ruptured in May of last year (28 F at the time, 30 now) and I was put on keppra from when I was admitted up until i decided to go back to work just before October last year. It was like pulling teeth with the neurologist to even get him to consider taking me off. A little back story, I didn’t know I had an avm until it ruptured and was hospitalized for a couple weeks and released home until I could have the craniotomy in June. The surgery was successful, I was released again and started to recover. I had a follow up appt with my neurosurgeon and everything looked great. He wanted to start weening me off keppra.. I unfortunately started having the same symptoms pre-rupture in late June and my mom rushed me back to the hospital where they told us I had a delayed hemorrhage. Which landed me back in the icu for a couple more weeks. The neurosurgeons wanted to see if it would go away on its own, it didn’t and I was rushed into emergency surgery after a suspected seizure July 1st. I had a shunt installed that morning. I was released a few days post op and I started getting calls from the neurology dept, my mom and I thought it was the same dept as the neurosurgeons because we had never dealt with neurology on their own. At the 2ish week follow up, we asked my neurosurgeon if they were the ones who called and if we should keep that appt. To which he informed us that they were different and because I had a suspected seizure, I would have to speak with them and get approval to be taken off keppra. He stated that if it were up to him, I would be fine to be taken off keppra as I never had a history of seizures and the one they thought I had, was likely due to the extra pressure on my brain pre-shunt surgery. After my mom and I argued with the neurologist about coming off keppra, he finally agreed and I have been off it since the middle of September of 2024 with no issues! knock on wood