Hot-water epilepsy in an adult: ictal EEG, MRI and SPECT features

Lisovoski, F.; Prier, S; Koskas, P.; Dubard, Thierry; Stievenart, J.L.; Dehen, H; Cambier, J

doi:10.1016/1059-1311(92)90027-x

Cited by 16 publications

(14 citation statements)

References 5 publications

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“…Supported by the imaging data available in our study, and also by the results from comparable studies, it appears that patients with HWE do not have cerebral lesions or serious EEG changes except for ictal recordings (5,6). However, temporal localization for ictal (14) and interictal changes (9) may provide some support for the complex-partial nature of seizures in HWE.…”

Section: Discussionsupporting

confidence: 77%

Hot Water Epilepsy: Clinical and Electrophysiologic Findings Based on 21 Cases

et al. 2001

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Summary:Purpose: Our aim is to outline the clinical and electroencephalographic (EEG) features of patients with hot water epilepsy (HWE), a rare and unique form of reflex epilepsy.Methods: Twenty-one patients with HWE, seen in our clinic until 1999, were studied. Male outnumbered female subjects in a ratio of 3:1. The age at the onset of seizures ranged from 19 months to 27 years (mean age at onset, 12 years).Results: The main factors precipitating seizures were bathing with hot water and/or pouring water over the head. Six patients reported self-induction, either by increasing the heat or the amount of water and/or recalling earlier bathing experiences. Nine patients expressed feeling pleasure during the seizures. Twenty patients had partial seizures, eight of whom also had secondarily generalized seizures. One patient had apparent generalized seizures only. Spontaneous seizures were present in 62% of the cases. Interictal epileptogenic abnormalities were documented in the EEGs of eight patients; the other eight had normal EEGs. The major sites of epileptogenic activity were over the unilateral temporal regions (in 40% of patients). Neuroimaging studies available for 12 patients (four cranial computed tomography and eight cranial magnetic resonance imaging scans) revealed normal findings. Seizure control in patients who were followed up was achieved by reducing the temperature or the duration of the bath or shower; several of the patients required medication.Conclusions: The major findings of this study are that HWE has a male preponderance, can be self-induced, is often done for pleasure, has complex triggering factors, and shows temporally located abnormalities in the EEGs. Although HWE is generally known to be self-limited, antiepileptic drug treatment may sometimes be necessary to control seizures. Hot water epilepsy should be classified separately among the epileptic syndromes.

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Section: Discussionsupporting

confidence: 77%

Hot Water Epilepsy: Clinical and Electrophysiologic Findings Based on 21 Cases

et al. 2001

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“…[2] Bununla birlikte interik-tal EEG'lerde fokal (daha çok temporalde) ya da jeneralize epileptiform anormallikler de bildirilmiştir. [4][5][6][7][8] Bizim olgumuzun da interiktal EEG'sinde HPV ile provoke olan 3 Hz frekansında iki taraflı senkron jeneralize diken dalga aktivitesi izlendi. Literatür ile uyumlu olarak bizim de olgumuzun kranial MR'ı normal saptanmıştı.…”

Section: Discussionunclassified

Hot Water Epilepsy: A Case Report

İnce¹

2018

Epilepsi

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Refleks epilepsiler dış uyaranlarla veya mental aktivitelerle ortaya çıkarılan epileptik nöbetlerdir. Bu dış uyaranlar sadece basit uyaranlar (örneğin ışık çakmaları, sıcak su, görsel, vestibüler, işitsel veya taktil uyaranlar) değil, kompleks uyaranlar (örneğin okuma veya müzik dinleme) şeklinde de olabilir. Sıcak su ile ilişkili epilepsiler nadir görülen bir refleks epilepsi türüdür.

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“…[7] Lisovosky et al . [4] Tojima et al .,[8] showed intracranial lesions with intensive investigations in three cases of HWE. To establish the fact whether these organic factors are the direct or indirect cause of HWE or as associated findings, comparing pre- and post-operative status of these cases when subjected to intracranial lesion surgery, will clear the question.…”

Section: Discussionmentioning

confidence: 99%

“…Many researchers[123456789101112] have reported this disorder, which is recognized as HWE induced by immersion in hot water. These reports are either single case reports or a small series of patients.…”

Section: Introductionmentioning

confidence: 99%

Pseudo hot water epilepsy: A pilot study on behavioral psychotherapeutic management

Venkataramiah

Ghorpade

2013

Indian J Psychiatry

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Background:Diagnostic accuracy of Hot Water Epilepsy (HWE) on history alone was observed to be less satisfactory by the first author while managing such patients psychologically. To confirm this observation this pilot study was planned.Materials and Methods:Symptoms as reported by the patient was confirmed by the two authors in the wards by giving them Hot Water Head Bath. Following this they were subjected to behavioral Psychotherapeutic treatment to relieve them from their distressful symptoms.Results and Conlusion:Confirmed the hypothesis and it was concluded that by witnessing the symptoms of HWE by the treating doctor would improve the outcome of any treatment.

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Hot-water epilepsy in an adult: ictal EEG, MRI and SPECT features

Cited by 16 publications

References 5 publications

Hot Water Epilepsy: Clinical and Electrophysiologic Findings Based on 21 Cases

Hot Water Epilepsy: Clinical and Electrophysiologic Findings Based on 21 Cases

Hot Water Epilepsy: A Case Report

Pseudo hot water epilepsy: A pilot study on behavioral psychotherapeutic management

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