Provoked Seizure Triggered By Electrolyte Imbalance And Substance Use: A Case Report

This case report explores the diagnostic challenges in evaluating first-time seizures by highlighting the importance of differentiating between provoked and unprovoked seizures. The patient, a 65-year-old female, experienced her first seizure during a yoga retreat in Costa Rica, influenced by a perfect storm of overlapping factors such as traveler's diarrhea, alcohol consumption, and THC use. Comprehensive evaluation and laboratory assessments revealed an elevated hematocrit and borderline magnesium deficiency. Despite limitations in reporting accuracy and the lack of immediate medical transfer, these findings did not hinder the diagnostic process. This episode, classified as a provoked seizure, highlights the necessity of a detailed case history when evaluating a presumed first-time seizure, targeted electrolyte assessment, and hydration strategies to inform clinical decision-making.