Hot Water Epilepsy

2019 ◽  
Vol 08 (04) ◽  
pp. 100-102
Author(s):  
Alcy R. Torres ◽  
Marleny Aquino-Cabrera ◽  
Mugdha Mohanty
Keyword(s):  
Common Type ◽  
Effective Therapy ◽  
Hot Water ◽  
Review Of The Literature ◽  
Reflex Epilepsy ◽  
Focal Seizures ◽  
Triggering Factor ◽  
Impaired Awareness ◽  
Clonic Seizures ◽  
Higher Temperature

AbstractHot water epilepsy (HWE) is a type of reflex epilepsy in which seizures are precipitated by pouring water at a higher temperature during bathing onto the head or body. The etiology is still not known and is presumably both genetic and environmental. Focal seizures with impaired awareness are the most common seizure types and generalized tonic-clonic seizures are the second common type of seizures. The diagnosis is clinical. Interictal electroencephalography and neuroimaging are usually normal. Treatment consists of avoidance of the triggering factor. However, in cases where this option is not effective, antiepileptics can be used. Clobazam appears to be the most effective therapy, particularly for pure HWE. This is an up-to-date review of the literature.

scholarly journals Clinical and EEG features, treatment, and outcome of hot water epilepsy in pediatric patients

2020 ◽  
pp. 21-24
Author(s):  
Sevgi ÇIRAKLI ◽  
Ayşe Kaçar BAYRAM ◽  
Aslıhan DEMİR ◽  
Mehmet CANPOLAT ◽  
Sefer KUMANDAS ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Background Activity ◽  
The Body ◽  
Hot Water ◽  
Reflex Epilepsy ◽  
Impaired Consciousness ◽  
Focal Seizures ◽  
Interictal Eeg ◽  
Eeg Features

Background: Hot water epilepsy is a type of reflex epilepsy which generally occurs with pouring water on the body during bath. Objective: The aim of this study is to evaluate the clinical and electrophysiological features, treatment, and outcome of the pediatric patients with diagnosis of hot water epilepsy. Methods: Patients were followed and treated at Erciyes University, between January 2010 and January 2016. Results: There were 15 patients total, included 9 (60%) boys and 6 (40%) girls. The average age at diagnosis was 30 months (range: 13-60 months). The follow-up period was 16 months (range: 12-48 months). Seven patients (46.6%) had focal seizures with impaired consciousness, four (26.7%) had focal seizure and four (26.7%) had focal starting and generalized tonic-clonic continuing seizures. Seven patients (46.6%) had abnormal interictal EEG findings, ranged from unilateral slowing of the background activity to bilateral sharp wave. Intermittent clobazam treatment (0.8-1.2 mg/kg) was given to 13 patients (86.7%). Other epileptic treatments were used in 5 (33.3%) patients. Three patients (20.0%) developed nonreflex seizures during followup period. Conclusions: Intermittent clobazam prophylaxis prior to hot water bath, as well as changing bathing habits can be effective in pediatric patients with hot water epilepsy.

Reflex Epilepsy with Hot Water: Clinical and EEG Findings, Treatment, and Prognosis in Childhood

2020 ◽  
Vol 51 (05) ◽  
pp. 336-340 ◽  
Author(s):  
Fatma Hanci ◽  
Sevim Türay ◽  
Paşa Balci ◽  
Nimet Kabakuş
Keyword(s):  
Seizure Control ◽  
Hot Water ◽  
Reflex Epilepsy ◽  
Therapeutic Approaches ◽  
Water Age ◽  
Epileptiform Discharges ◽  
Neurology Clinic ◽  
Neuromuscular Development ◽  
The Brain ◽  
International League

AbstractHot water epilepsy (HWE) is a subtype of reflex epilepsy in which seizures are triggered by the head being immersed in hot water. Hot water or bathing epilepsy is the type of reflex epilepsy most frequently encountered in our clinic. We describe our patients with HWE and also discuss the clinical features, therapeutic approaches, and prognosis. Eleven patients (10 boys, 1 girl), aged 12 months to 13 years, admitted to the pediatric neurology clinic between January 2018 and August 2019, and diagnosed with HWE or bathing epilepsy based on International League Against Epilepsy (ILAE)-2017, were followed up prospectively for ∼18 months. Patients' clinical and electroencephalography (EEG) findings and treatment details were noted. All 11 patients' seizures were triggered by hot water. Age at first seizure was between 2 months and 12 years. Seizure types were generalized motor seizures, absence, and atonic. EEG was normal in two patients, but nine patients had epileptiform discharges. Magnetic resonance imaging of the brain was performed and reported as normal (except in one case). Histories of prematurity were present in two patients, unprovoked seizures in one, and low birth weight and depressed birth in the other. Patients with HWE have normal neuromuscular development and neurological examination results, together with prophylaxis or seizure control with a single antiepileptic drug, suggesting that it is a self-limited reflex epilepsy.

A 16-year-old girl with focal seizures and impaired awareness: divergent non-invasive data related to a diffuse epileptogenic network

2016 ◽  
Vol 18 (2) ◽  
pp. 187-194
Author(s):  
Angelo Russo ◽  
Prasanna Jayakar ◽  
Ian Miller ◽  
Sanjiv Bhatia ◽  
Michael Duchowny
Keyword(s):  
Non Invasive ◽  
Focal Seizures ◽  
Impaired Awareness

Eating Epilepsy: Pathophysiologic Models, Electroclinical Phenotypes, and Outcome

2019 ◽  
Vol 08 (04) ◽  
pp. 094-099
Author(s):  
Alessandro Iodice
Keyword(s):  
Late Onset ◽  
Age At Onset ◽  
Brain Magnetic Resonance Imaging ◽  
Reflex Epilepsy ◽  
Resonance Imaging ◽  
Rare Form ◽  
Epileptic Spasms ◽  
Generalized Seizures ◽  
Impaired Awareness ◽  
Interictal Discharges

AbstractEating epilepsy (EE) is a rare form of reflex epilepsy precipitated by food. Ictal semiology may vary depending on the etiology, age at onset, and cerebral areas involved in the epileptogenic network. In childhood, EE could manifest as tonic head drop seizures, generalized seizures, or late-onset epileptic spasms. However, in teenagers or adults, seizures are often preceded by aura and commonly manifest as focal seizures with or without impaired awareness. Brain magnetic resonance imaging abnormalities are seen in less than half of the reported cases. Posterior or multifocal interictal discharges can be seen in patients with EE. No randomized data about treatment are available. Structural epilepsies or coexistent unprovoked seizures other than eating seizures are poor prognostic factors for pharmacological outcome.

scholarly journals Status epilepticus during correction of hyponatremia in a patient with Alzheimer’s disease: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2091541
Author(s):  
Ken Ichioka ◽  
Nobuhiro Akuzawa ◽  
Akio Takahashi
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Case Report ◽  
Status Epilepticus ◽  
Synaptic Cleft ◽  
Sharp Waves ◽  
Old Japanese ◽  
Impaired Awareness ◽  
Clonic Seizures ◽  
The Right

An 83-year-old Japanese man with Alzheimer’s disease was admitted to our hospital for treatment of hyponatremia resulting from water intoxication. During hospitalization, the patient developed focal impaired awareness seizures, focal to bilateral tonic-clonic seizures, and subsequent status epilepticus. Electroencephalogram during focal impaired awareness seizures showed rhythmic 5–9 Hz theta activity in the right frontotemporal region. Electroencephalogram during focal to bilateral tonic-clonic seizures showed bilateral polyspikes. Electroencephalogram during an interseizure period revealed sharp waves in the right frontal region. Continuous intravenous administration of midazolam was the only effective treatment for status epilepticus. The patient died of aspiration pneumonia on day 58. Hyponatremia-associated status epilepticus is rare; in the present case, multifocal epileptogenicity resulting from Alzheimer’s disease and hyponatremia-associated elevation of glutamate levels in the synaptic cleft may have contributed to the onset of focal to bilateral tonic-clonic seizures with subsequent status epilepticus.

Immunosuppression as effective therapy for eosinophilic cholangiopathy: A case series and review of the literature

GastroHep ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 33-44
Author(s):  
Dominik Reher ◽  
Christoph Schramm ◽  
Florian Brinkert ◽  
Sören A. Weidemann ◽  
M. Plauth ◽  
...  
Keyword(s):  
Case Series ◽  
Effective Therapy ◽  
Review Of The Literature

scholarly journals Hot Water Epilepsy in a Pregnant Woman: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Aysel Milanlıoğlu ◽  
Temel Tombul ◽  
Refah Sayın
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Antiepileptic Drugs ◽  
Hot Water ◽  
Infants And Children ◽  
Gestation Period ◽  
Reflex Epilepsy ◽  
Unique Form ◽  
Reflex Seizures ◽  
In Infants And Children

Hot water epilepsy is a unique form of reflex epilepsy precipitated by the stimulus of bathing with hot water poured over the head. It is mostly seen in infants and children, with a predominance in males. Unlikely, we present a 32-year-old pregnancy woman with the incipient of reflex seizures triggered by pouring hot water over the head while having a bath during the gestation period and treated successfully with carbamazepine 400 mg/day therapy. Hot water epilepsy is known as a benign and self-limited reflex epilepsy, by firstly avoiding hot water or long showers and secondly using intermittent benzodiazepines or conventional antiepileptic drugs, may be sufficient to be seizure-free.

scholarly journals A Case of Primary Squamous Cell Carcinoma of the Liver Arising in a Solitary Cyst

HPB Surgery ◽  
1992 ◽  
Vol 5 (3) ◽  
pp. 203-208 ◽  
Author(s):  
O. Nieweg ◽  
M. J. H. Slooff ◽  
J. Grond
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Liver Tumor ◽  
Squamous Epithelium ◽  
Hepatic Cyst ◽  
Effective Therapy ◽  
Primary Squamous Cell Carcinoma ◽  
Review Of The Literature ◽  
Rare Type

A case of primary squamous cell carcinoma in a pre-existing hepatic cyst is presented. A review of the literature suggests that this rare type of liver tumor tends to arise from solitary, nonparasitic cysts, lined with squamous epithelium. Effective therapy is not available, the prognosis is grave.

Reflex-Epilepsy Induced by Immersion in Hot Water

1988 ◽  
Vol 28 (1) ◽  
pp. 6-10 ◽  
Author(s):  
R.A.C. Roos ◽  
J.G. van Dijk
Keyword(s):  
Hot Water ◽  
Reflex Epilepsy
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