<s>[INST] My daughter flew to coloroda on a ski trip over Christmas . While there she had a seizure, she was stressed out about flying for the first time, an trying to learn how to ski. She had alcohol the night before, she was fatigued from skiing the first two days. She started her period the morning of the seizure. Also the altitude difference from Tennessee to coloroda. She had never shown any symptoms of seizures before. Could all of these triggers have caused the seizure? . [/INST] Your daughter needs to be evaluated by a neurologist to find the best answer to your question on seizure triggers. Mild fatigue, changes in oxygen concentration due to altitude and occasional alcohol use do not usually cause seizures. </s>