A RARE FORM OF REFLEX EPILEPSY: HOT WATER EPILEPSY

Year 2016, Volume: 18 Issue: 2, 86 - 89, 31.08.2016

Özgür Tatlı , Selim Yurtsever Mücahit Günaydın Faruk Özşahin Gürkan Altuntaş Nurhak Aksüt

https://doi.org/10.24938/kutfd.252684

Abstract

Hot water epilepsy is a rare form of reflex epilepsy. It is generally precipitated by hot water being poured on the head while bathing. It is generally seen in healthy children and is more common in males. Our case was a 12-year-old girl. She underwent consecutive episodes during intervention at the emergency department after washing with hot water. She was intubated when her oxygen saturations fell. Her head region had not come into contact with hot water. Hot water epilepsy generally follows a benign course and is a self-limiting form of reflex epilepsy. It does not usually require treatment for subsequent periods. The patient should be advised to avoid hot water and long baths.

Keywords

Emergency department, hot water epilepsy, reflex epilepsy

Nadir Bir Refleks Epilepsi Türü: Sıcak Su Epilepsisi

Abstract

Nadir Bir Refleks Epilepsi Türü:
Sıcak Su Epilepsisi

Sıcak su epilepsisi refleks epilepsilerin nadir bir türüdür. Genelde banyo esnasında sıcak suyun kafaya aniden dökülmesi ile tetiklenir. Genelde sağlıklı çocuklarda ve erkek cinsiyette görülür. Bizim vakamız 12 yaşında bir kız çocuğu idi. Sıcak suyla yıkandıktan sonra acil servise getirilen hastada tekrarlayıcı nöbet epizotları meydana geldi. Oksijen saturasyonlarının düşmesi üzerine entübe edildi. Hastanın kafa bölgesine herhangi bir sıcak su teması olmamış. Sıcak su epilepsileri genelde iyi seyirli olup sonraki dönemler için tedavi başlanmaz. Hastalara sonraki dönemler için sıcak sudan ve uzun banyolardan kaçınılması önerilir. 

Keywords

Acil servis, refleks epilepsi, sıcak su epilepsisi

References

• 1. Grosso S, Farnetani MA, Francione S, et al. Hot water epilepsy and focal malformation of the parietal cortex development. Brain Dev. 2004; 26(7): 490-3.
• 2. Incecik F, Hergüner MO, Elkay M, Altunbasak S. Hot water epilepsy-a report of three cases. Indian Pediatr. 2004; 41(7): 731-3.
• 3. Satishchandra P, Shivaramakrishna A, Kaliaperumal VG, Schoenberg BS. Hot water epilepsy: A variant of reflex epilepsy in Southern India. Epilepsia. 1988; 29(1): 52-6.
• 4. Satishchandra P. Geographically specific epilepsy syndromes in India. Hot water Epilepsy. Epilepsia. 2003; 44(1): 29-32.
• 5. Bebek N, Gürses C, Gokyigit A, Baykan B, Ozkara C, Dervent A. Hot water epilepsy: clinical and electrophysiologic findings based on 21 cases. Epilepsia. 2001; 42(9): 1180-4.
• 6. Yalcın D, Toydemir EH, Forta H. Hot water epilepsy: Clinical and electroencephalographic features of 25 cases. Epilepsy Behav. 2006; 9(1): 89-94.
• 7. Roos RA, van Dijk JG. Reflex-epilepsy induced by immersion in hot water. Case report and review of the literature. Eur Neurol .1988; 28(1): 6-10.
• 8. Gururaj G, Satischandra P. Correlates of hot water epilepsy in rural South India: a descriptive study. Neuroepidemiology. 1992; 11(4-6): 173-9.
• 9. Fukuda M, Morimoto T, Nagao H, Kida K. Clinical study of epilepsy with severe febrile seizures and seizures induced by hot water bath: Brain Dev. 1997; 19(3): 212-6.
• 10. Milanlıoğlu A, Tombul T, Sayın R. Hot water epilepsy in a pregnant woman: A case report. Case Report Med. 2010; 2010: 134578.
• 11. Savitha MR, Krishnamurthy B, Ashok DA, Ramachandra NB. Self abortion of attacks in patients with Hot Water Epilepsy. Indian Pediatr. 2007; 44(4): 295-8.
• 12. Tajima Y, Minami N, Sudo K, Moriwaka F, Tashiro K. Hot water epilepsy with pineal cyst and cavum septi pellucidi. Jpn J Psychiatry Neurol. 1993; 47(1): 111-4.
• 13. Erdem E, Topçu M, Renda Y, Ciğer A, Varli K, Zileli T. Hot water epilepsy. Clin Electroencephalogr 1992; 23(3): 152-8.
• 14. Kılbaş S, Koyuncuoğlu HR, Ayata A. Sıcak su epilepsisi: Bir vaka sunumu. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2007; 14(4): 30- 2.