Substance withdrawal can trigger grand mal seizures
Substance withdrawal, particularly from alcohol or sedatives, lowers the seizure threshold and is well-documented to trigger acute symptomatic seizures, including generalized tonic-clonic (grand mal) seizures.
The retrieved literature consistently supports the claim that substance withdrawal (specifically alcohol and CNS depressants) can trigger acute symptomatic seizures. Paper [1] includes drug and alcohol withdrawal in its definition of acute symptomatic seizures. Paper [5] details that alcohol withdrawal lowers the seizure threshold and poses a major risk for seizures. Paper [8] explicitly studies patients experiencing generalized tonic-clonic seizures due to alcohol withdrawal.
Ettore Beghi, Arturo Carpio, Lars Forsgren, Dale C. Hesdorffer, Kristina Malmgren, Josemir W. Sander, Torbjörn Tomson, W. Allen Hauser. Recommendation for a definition of acute symptomatic seizure. 2009. https://doi.org/10.1111/j.1528-1167.2009.02285.x
Identifies drug or alcohol withdrawal as a recognized cause of acute symptomatic seizures.
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E. Gordon, Orrin Devinsky. Alcohol and Marijuana: Effects on Epilepsy and Use by Patients with Epilepsy. 2001. https://doi.org/10.1046/j.1528-1157.2001.19301.x
Notes that alcohol withdrawal lowers the seizure threshold and is a serious risk for seizures in chronic abusers.
Michael J. Aminoff, Roger P. Simon, Eckehart Wiedemann. THE HORMONAL RESPONSES TO GENERALIZED TONIC-CLONIC SEIZURES. 1984. https://doi.org/10.1093/brain/107.2.569
Includes clinical study subjects experiencing generalized tonic-clonic seizures specifically arising from alcohol withdrawal.
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