For Post-Traumatic and Symptomatic Seizures: Practical Risk Stratification, use the highest-yield facts to drive concrete treatment decisions. Pay particular attention to Severe head injury: ~12% develop PTE (higher with intracranial lesions or LOC >24h), Early post-trauma seizures → 25-35% develop late PTE, and Prophylactic AEDs reduce acute seizures week 1 but do NOT prevent long-term PTE when choosing therapy, counseling about risk, planning monitoring, and deciding when closer follow-up or escalation is needed.

Severe head injury: ~12% develop PTE (higher with intracranial lesions or LOC >24h)Early post-trauma seizures → 25-35% develop late PTEProphylactic AEDs reduce acute seizures week 1 but do NOT prevent long-term PTEAlcohol withdrawal: GTCS within 48h of cessation, normal EEG; treat with IV benzos; rare after day 7Cocaine/amphetamines: most common recreational drug seizure triggers