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SICAK SU EPİLEPİSİLİ İKİ OLGU SUNUMU

Year 2012, Volume: 13 Issue: 1, 35 - 38, 01.04.2012

Abstract

Sıcak su epilepsisi, nadir görülen bir refleks epilepsi olup, sıcak suyla banyo yaparken ortaya çıkan kompleks parsiyel nöbetlerle karakterizedir. İyi prognozlu olup genellikle erkek çocuklarda görülür, ancak ileri yaşlarda da ortaya çıkabilir. Sıcak su epilepsisi mekanizması tam olarak bilinmemekle birlikte tekrarlayan sıcak su uyarılarının bir çeşit tutuşturucu “kindling fenomeni” etkisi yaptığı gösterilmiştir. Buradaki amacımız polikliniğimizde takip edilen sıcak su epilepsili iki hastamızın klinik özelliklerini incelemekti. 23 ve 35 yaşlarında olan iki erkek hastamızın da benzer şekilde çocukluktan beri olan, banyoda sıcak su ile tetiklenen kompleks parsiyel nöbetleri bulunmaktaydı. Nörolojik muayeneleri, psikomotor gelişimleri ve kranial magnetik rezonans görüntülemeleri normal saptanmıştır. EEG'lerinde temporal bölgeden kaynaklı epileptik aktivite gözlenmiştir. Hastalara lamotrijin (300mg/gün; 200mg/gün) tedavisi başlanmış ve nöbetler kontrol altına alınmıştır. Bu makalede sıklıkla yanlış olarak tanınan bu ender refleks epilepsiye dikkat çekmek istenmiştir

References

  • Allen IM. Observations on cases of reflex epilepsy. N Z Med J 1945;44:135-42.
  • Bebek N, Gurses C, Gokyigit A, Baykan B, Özkara C, Dervent A. Hot water epilepsy: clinical and electrophysiologic findings based on 21 cases. Epilepsia 2001;42:1180-4.
  • Satischchandra P. Hot water epilepsy. Epilepsia ;44:29-32. Incecik F, Herguner MO, Elkay M, Altunbaşak S. Hot water epilepsy- a report of three cases. Indian Pediatr ;41:731-3. Devinsky OWB. Reflex seizures, In: Ritaccio AL,ed. Neurologic clinics. WB Saunders Company, Philadelphia, 1994:57-83.
  • Satishchandra P, Shivaramakrishana A, Kaliaperumal VG, Schoenberg BS. Hot-water epilepsy: avariant of reflex epilepsy in southern India. Epilepsia ;29:52-6. Yalcın AD, Ertasoglu Toydemir H, Forta H. Hot water epilepsy: Clinical and electroencephalographic features of 25 cases. Epilepsy Behav 2006;9:89-94.
  • Satishchandra P, Ulla RG, Sinha A, Shankar SK. Pathophysiology and genetics of hot water epilepsy. In: Berkovic SF, Genton P, Hirsch E, Picard F, editors. Genetics of focal epilepsies: clinical aspects and molecular biology. John Libbery & Company Ltd, London, 1999: 169-76.
  • Lenoir P, Ranet J, Demeirleir L. Bathing induced seizures. Pediatr Neurol 1989;5:124-5.
  • SSE hastalarınının nörolojik muayeneleri Keipert JA. Epilepsy precipitated by bathing: water- immersion epilepsy. Aust Paediatr J 1969;5:244-7.
  • Ratnapriya R, Satishchandra P, Dilip S, Gadre G, Anand A. Familial autosomal dominant reflex epilepsy triggered by hot water maps to 4q24-q28. Hum Genet ;126(5):677-83. Argumosa A, Herranz JL, Barrasa J, Artega R. Reflex epilepsy from water: A new case and review of the literature. Rev Neurol 2002;35:349-53.
  • Ullal GR, Satishchandra P, Shankar SK. Hyperthermic seizures: an animal model for hot water epilepsy. Seizure 1996;5:221-8.
  • Midi I, Agan K, Aykut- Bingol C. Hot water epilepsy familial and nonfamilial case reports Marmara Medical Journal 2005;18(3);131-4.
  • Mani KS, Mani AJ, Ramesh CK. Hot water epilepsy: a peculiar type of reflex epilepsy: clinical and electroencephalographic features in 108 cases. Trans Am Neurol Assoc 1974;99:224-6.
  • Shaw NJ, Livingston JH, Minns RA, Clarke M. Epilepsy precipitated by bathing. Dev Med Child Neurol 1988;30:108-11.
  • Morimoto T, Hayakawa T, Sugie H, Awaya Y, Fukuyama Y. Epileptic seizures precipitated by constant light, movement in daily life, and hot water immersion. Epilepsia 1985;26:237-42.
  • Kılbaş S, Koyuncuoğlu HR, Ayata A. Sıcak su epilepsisi: Bir vaka sunumu. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2007;14(4):30-2.
  • Tombul T, Anlar Ö, Kırımi E. Sıcak su epilepsisinde farklı nöbet tipleri. Van Tıp Dergisi 2005;12(4):223-32. YAZIŞMA ADRESİ
  • Yrd. Doç. Dr. Ayça ÖZKUL ADÜ Tıp Fakültesi, Nöroloji Anabilim Dalı, AYDIN, TÜRKİYE E-Posta : ozkulayca@hotmail.com Geliş Tarihi Kabul Tarihi : 18.04.2010

Hot Water Epilepsy: A Report of Two Cases

Year 2012, Volume: 13 Issue: 1, 35 - 38, 01.04.2012

Abstract

Hot water epilepsy is a rare reflex epilepsy which is characterized by complex partial seizures during a hot bath. It has a good prognosis and generally seen in male children, however it can be also seen in adults. Although the exact mechanism is still unknown, repeated hot water stimuli were shown to have a kindling phenomen effect. Our aim is to outline the clinical features of two patients with hot water epilepsy, seen at our clinic. Two male patients 23 and 35 years old, had complex partial seizures during bathing since their childhood. Neurological examinations, psychomotor development and cranial magnetic resonance images were found to be normal. In EEG examinations epileptic activity originated from temporal regions were observed in both patients. Our patients were under control with lamotrigine (300 mg/day; 200 mg/day) medication. In this report, we aimed to present this rare and commonly misdiagnosed reflex epilepsy.

References

  • Allen IM. Observations on cases of reflex epilepsy. N Z Med J 1945;44:135-42.
  • Bebek N, Gurses C, Gokyigit A, Baykan B, Özkara C, Dervent A. Hot water epilepsy: clinical and electrophysiologic findings based on 21 cases. Epilepsia 2001;42:1180-4.
  • Satischchandra P. Hot water epilepsy. Epilepsia ;44:29-32. Incecik F, Herguner MO, Elkay M, Altunbaşak S. Hot water epilepsy- a report of three cases. Indian Pediatr ;41:731-3. Devinsky OWB. Reflex seizures, In: Ritaccio AL,ed. Neurologic clinics. WB Saunders Company, Philadelphia, 1994:57-83.
  • Satishchandra P, Shivaramakrishana A, Kaliaperumal VG, Schoenberg BS. Hot-water epilepsy: avariant of reflex epilepsy in southern India. Epilepsia ;29:52-6. Yalcın AD, Ertasoglu Toydemir H, Forta H. Hot water epilepsy: Clinical and electroencephalographic features of 25 cases. Epilepsy Behav 2006;9:89-94.
  • Satishchandra P, Ulla RG, Sinha A, Shankar SK. Pathophysiology and genetics of hot water epilepsy. In: Berkovic SF, Genton P, Hirsch E, Picard F, editors. Genetics of focal epilepsies: clinical aspects and molecular biology. John Libbery & Company Ltd, London, 1999: 169-76.
  • Lenoir P, Ranet J, Demeirleir L. Bathing induced seizures. Pediatr Neurol 1989;5:124-5.
  • SSE hastalarınının nörolojik muayeneleri Keipert JA. Epilepsy precipitated by bathing: water- immersion epilepsy. Aust Paediatr J 1969;5:244-7.
  • Ratnapriya R, Satishchandra P, Dilip S, Gadre G, Anand A. Familial autosomal dominant reflex epilepsy triggered by hot water maps to 4q24-q28. Hum Genet ;126(5):677-83. Argumosa A, Herranz JL, Barrasa J, Artega R. Reflex epilepsy from water: A new case and review of the literature. Rev Neurol 2002;35:349-53.
  • Ullal GR, Satishchandra P, Shankar SK. Hyperthermic seizures: an animal model for hot water epilepsy. Seizure 1996;5:221-8.
  • Midi I, Agan K, Aykut- Bingol C. Hot water epilepsy familial and nonfamilial case reports Marmara Medical Journal 2005;18(3);131-4.
  • Mani KS, Mani AJ, Ramesh CK. Hot water epilepsy: a peculiar type of reflex epilepsy: clinical and electroencephalographic features in 108 cases. Trans Am Neurol Assoc 1974;99:224-6.
  • Shaw NJ, Livingston JH, Minns RA, Clarke M. Epilepsy precipitated by bathing. Dev Med Child Neurol 1988;30:108-11.
  • Morimoto T, Hayakawa T, Sugie H, Awaya Y, Fukuyama Y. Epileptic seizures precipitated by constant light, movement in daily life, and hot water immersion. Epilepsia 1985;26:237-42.
  • Kılbaş S, Koyuncuoğlu HR, Ayata A. Sıcak su epilepsisi: Bir vaka sunumu. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2007;14(4):30-2.
  • Tombul T, Anlar Ö, Kırımi E. Sıcak su epilepsisinde farklı nöbet tipleri. Van Tıp Dergisi 2005;12(4):223-32. YAZIŞMA ADRESİ
  • Yrd. Doç. Dr. Ayça ÖZKUL ADÜ Tıp Fakültesi, Nöroloji Anabilim Dalı, AYDIN, TÜRKİYE E-Posta : ozkulayca@hotmail.com Geliş Tarihi Kabul Tarihi : 18.04.2010
There are 16 citations in total.

Details

Other ID JA42DY85SZ
Journal Section Research Article
Authors

Emine Yılmaz This is me

Ayça Özkul This is me

Ersin Deneri This is me

Ali Akyol This is me

Publication Date April 1, 2012
Published in Issue Year 2012 Volume: 13 Issue: 1

Cite

EndNote Yılmaz E, Özkul A, Deneri E, Akyol A (April 1, 2012) Hot Water Epilepsy: A Report of Two Cases. Meandros Medical And Dental Journal 13 1 35–38.