scholarly journals Hot water epilepsy: A rare form of reflex epilepsy

2010 ◽  
Vol 01 (02) ◽  
pp. 099-101
Author(s):  
Riazahmed Syed

ABSTRACTHot water epilepsy is a form of reflex epilepsy in childhood. We report two children from Saudi Arabia, who presented with seizures following pouring hot water on their head, while bathing. They were not treated by anti-epileptic medication. By decreasing the temperature of the water used for bathing, the seizures were avoided to a large extent in them. This form of epilepsy is reported to be seldom present in various countries but there are no records of its presence in Saudi Arabia.

2016 ◽  
Vol 18 (2) ◽  
pp. 86-86
Author(s):  
Özgür TATLI ◽  
Selim YURTSEVER ◽  
Mücahit GÜNAYDIN ◽  
Faruk ÖZŞAHİN ◽  
Gürkan ALTUNTAŞ ◽  
...  
Keyword(s):  

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000012298
Author(s):  
Andrea Accogli ◽  
Gert Wiegand ◽  
Marcello Scala ◽  
Caterina Cerminara ◽  
Michele Iacomino ◽  
...  

Objective:To describe the clinical and genetic findings in a cohort of subjects with bathing epilepsy, a rare form of reflex epilepsy.Methods:We investigated by Sanger and targeted re-sequencing the SYN1 gene in 12 individuals from 10 different families presenting with seizures primarily triggered by bathing or showering. Additional twelve subjects with hot-water epilepsy were also screened.Results:In all families with bathing epilepsy we identified 8 distinct pathogenic or likely pathogenic variants and 2 variants of unknown significance in SYN1, nine of which are novel. Conversely, none of the subjects with hot-water epilepsy displayed SYN1 variants. In mutated subjects, seizures were typically triggered by showering or bathing regardless of the water temperature. Additional triggers included fingernail-clipping, hair-cutting, or watching someone take a shower. Non-provoked seizures and a variable degree of developmental delay were also common.Conclusion:bathing epilepsy is genetically distinct reflex epilepsy mainly caused by SYN1 mutations.


2020 ◽  
Vol 51 (05) ◽  
pp. 336-340 ◽  
Author(s):  
Fatma Hanci ◽  
Sevim Türay ◽  
Paşa Balci ◽  
Nimet Kabakuş

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.


2019 ◽  
Vol 08 (04) ◽  
pp. 094-099
Author(s):  
Alessandro Iodice

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.


2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
Aysel Milanlıoğlu ◽  
Temel Tombul ◽  
Refah Sayın

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.


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

2015 ◽  
Vol 19 ◽  
pp. S86
Author(s):  
A. Mosquera Gorostidi ◽  
G. Azcona Ganuza ◽  
A. Justo Ranera ◽  
I.G. de Gurtubay ◽  
S. Aguilera Albesa ◽  
...  
Keyword(s):  

2015 ◽  
Vol 06 (04) ◽  
pp. 607-609 ◽  
Author(s):  
Rajath Pejaver ◽  
V. Srinivasa ◽  
S. P. Basavanthappa ◽  
C. L. Srinivasa Murthy

ABSTRACTHot water epilepsy (HWE) is a type of reflex epilepsy which occurs when hot water is poured over the head. Most cases have been reported from Southern India. Genetic, cultural, and geographical factors can be responsible for HWE. HWE can be treated by clobazam 1–2 h prior to take a bath rather than continuous anti-epileptic therapy. Medication prior to bathing may be useful in treating older children, eliminating the need to be accompanied by an adult during bathing. It can also be treated by reducing the temperature of the water used for bathing. Here, we report three cases of HWE in varying age groups.


Epilepsia ◽  
1988 ◽  
Vol 29 (1) ◽  
pp. 52-56 ◽  
Author(s):  
P. Satishchandra ◽  
A. Shivaramakrishana ◽  
V. G. Kaliaperumal ◽  
Bruce S. Schoenberg

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