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Bath-induced paroxysmal disorders in infancy

Alla Nechay1, John B P Stephenson

  • 1Neurology Department, Paediatric Hospital, Kiev, Ukraine. allanechay@ukr.net

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|June 24, 2008
PubMed

Insights

Infant bathing can trigger paroxysmal disorders like bathing epilepsy. These conditions, including alternating hemiplegia of childhood, hyperekplexia, and pain disorder, involve autonomic symptoms and may be linked to channelopathies.

Area of Science:

  • Neurology
  • Pediatrics
  • Genetics

Background:

  • Infant bathing, particularly in normal temperature water, can precipitate paroxysmal disorders.
  • Four main diagnostic categories have been identified where bathing acts as a trigger.

Purpose of the Study:

  • To review paroxysmal disorders in infants and newborns triggered by bathing.
  • To differentiate bathing-induced epilepsy from hot water epilepsy.

Main Methods:

  • Literature review focusing on infant bathing in water (36-38°C).
  • Analysis of diagnostic categories associated with bathing triggers.

Main Results:

  • Identified four categories: bathing epilepsy, alternating hemiplegia of childhood, hyperekplexia, and paroxysmal extreme pain disorder.
  • Bathing epilepsy is distinct from hot water epilepsy; some cases may have a genetic basis.
  • No convincing evidence for bath-induced infantile syncope was found.

Conclusions:

  • Bathing can trigger various paroxysmal disorders in infants.
  • These disorders share autonomic manifestations, suggesting potential channelopathy links.
  • Further research is needed to understand the underlying mechanisms.

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