Ioos C, Fohlen M, Villeneuve N, Badinand-Hubert N, Jalin C, Cheliout-Heraut F, Pinard J M
Department of Pediatric Neurology, Hôpital Raymond Poincaré, Garches, France.
J Child Neurol. 2000 Feb;15(2):125-8. doi: 10.1177/088307380001500211.
Hot water epilepsy is a reflex epilepsy. Seizures are provoked by hot water, and result from the association of both cutaneous and heat stimuli. Described mainly in India and Japan, the condition seems to be rare in Europe, where it occurs in young children. We report five infants aged from 6 months to 2 years. They had brief seizures during bathing with activity arrest, hypotonia, and vasoactive modification; clonic movements were observed. A simple treatment-decreasing the bath temperature-can be sufficient. Sometimes an antiepileptic drug is required. Seizure course and psychomotor development are favorable. Hot water epilepsy is a benign form of epilepsy. Its incidence could be underestimated because of confusion with febrile convulsions, vagal fits, or aquagenic urticaria.
热水癫痫是一种反射性癫痫。发作由热水诱发，是皮肤刺激和热刺激共同作用的结果。这种疾病主要在印度和日本被描述，在欧洲似乎很罕见，多见于幼儿。我们报告了5名年龄在6个月至2岁之间的婴儿。他们在洗澡时出现短暂发作，伴有活动停止、肌张力减退和血管活性改变；观察到阵挛性运动。一种简单的治疗方法——降低洗澡水温——可能就足够了。有时需要使用抗癫痫药物。癫痫发作过程和精神运动发育情况良好。热水癫痫是一种良性癫痫形式。由于与热性惊厥、迷走性发作或水源性荨麻疹混淆，其发病率可能被低估。
