<s>[INST] I just got out of the hospital after being in 3 days after having a seizure. Doctor said it was because I was taking Tramadol. Is that a side effect of Tramadol? I have never had a seizure or have been diagnosed with an illness that causes seizures but I did take a fall will a skull fracture in late 2012 [/INST] Hello, I have gone through your question and understand your concern. Tramadol can cause seizures as its adverse effect, but this is a very unusual, being reported in less than 1% of its adverse effect. While I would worry about the skull fracture, which I assume you did exams during hospitalization. I suppose you did EEG and MRI. If for any reason you did not do these exams you should definitely do these exams. In case these are normal I would still recommend starting an AED depending on the type of seizure. Wishing you good health, please feel free to ask further questions </s>