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[Hot-water epilepsy: case report in an infant]
Arantxa Vidal Esteban1, Pilar Galán Del Río2, Teresa de Santos Moreno3
1Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España. arantxa_vidal_esteban@hotmail.com.
Archivos Argentinos De Pediatria
|March 22, 2020
Summary
Hot-water epilepsy is a rare reflex seizure disorder triggered by warm water. Early clinical suspicion is key for diagnosis, as standard tests are often normal.
Area of Science:
- Neurology
- Epileptology
Background:
- Hot-water epilepsy is a rare reflex seizure disorder.
- Pathophysiology remains largely unknown.
- Seizures are triggered by water contact, typically 37-48°C.
Observation:
- Reflex seizures manifest as automatisms and complex partial seizures.
- Neurological exams and interictal EEG are usually normal.
- Diagnosis relies heavily on clinical suspicion.
Findings:
- Hot-water epilepsy can be challenging to diagnose due to normal neurological findings.
- Treatment involves simple measures like lowering water temperature or antiepileptic drugs.
- Spontaneous remission is possible, and pharmacological treatment is often effective.
Implications:
- Highlights the importance of clinical suspicion in diagnosing rare reflex epilepsies.
- Suggests potential for effective management through environmental modifications and medication.
- Underscores the need for further research into the pathophysiology of hot-water epilepsy.
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