Gururaj G, Satishchandra P
Department of Epidemiology National Institute of Mental Health and Neuro Sciences, Bangalore, India.
Neuroepidemiology. 1992;11(4-6):173-9. doi: 10.1159/000110929.
Seizures precipitated by the stimulus of hot water known as 'hot water epilepsy' (HWE) have been commonly reported from South India. The present report outlines certain descriptive epidemiological aspects of 78 cases from two rural satellite clinics of National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India. Geographical clustering was observed in one of the centres. HWE was common in the age group of 26-35 years with a male to female ratio of 3.6:1. The frequency of seizure occurrence was more than 1-4 attacks/month in 89% of cases. Past history of febrile convulsions and family history of HWE was noticed in 27 and 18% of our cases, respectively. The conversion of reflex to nonreflex epilepsy occurred in 30.8% of cases. Population-based epidemiological studies are essential for further understanding of HWE for developing strategies towards prevention and control.
由热水刺激引发的癫痫发作被称为“热水癫痫”（HWE），在印度南部经常有相关报道。本报告概述了来自印度班加罗尔国家心理健康和神经科学研究所（NIMHANS）两个农村卫星诊所的78例病例的某些描述性流行病学特征。在其中一个中心观察到了地理聚集现象。HWE在26 - 35岁年龄组中较为常见，男女比例为3.6:1。89%的病例癫痫发作频率超过每月1 - 4次。在我们的病例中，分别有27%和18%的患者有高热惊厥病史和HWE家族史。30.8%的病例发生了从反射性癫痫向非反射性癫痫的转变。基于人群的流行病学研究对于进一步了解HWE以制定预防和控制策略至关重要。
