Provoked vs unprovoked seizures

Provoked seizures are typically generalized convulsive seizures rather than focal seizures.¹ With respect to alcohol, it is known that intoxication may lower the seizure threshold in patients with focal brain injuries.¹ It is therefore suggested that patients presenting with focal seizures or focal seizures with secondary generalization be treated as having unprovoked seizures.¹

References:

1.Bergey GK. Management of a first seizure. Continuum (Minneap Minn) 2016; 22 (1): 38–50.

2.Huff JS, Murr NI. Seizure. StatPearls [Internet]. February 2023.

3.Kaczor EE, Greene K, Zacharia J, et al. The potential proconvulsant effects of cannabis: A scoping review. J Med Toxicol 2022; 18 (3): 223–234.