Institute for Mother and Child Health Care of Serbia, Faculty of Medicine, University of Belgrade.
Epileptic Disord. 2012 Sep;14(3):321-4. doi: 10.1684/epd.2012.0520.
We report two Caucasian boys with seizures induced by bathing in lukewarm water. Different mechanisms of provocation were observed; in one boy a complex partial seizure was provoked by pouring water over the body, while in the other boy, a complex partial seizure with secondary generalisation was provoked by immersion. Since the water was not hot in either of the cases, the pathophysiological mechanism was not clear and the seizures could not be explained as hyperthermic-related events. We suggest that in the ILAE classification of epilepsies and epileptic seizures, bathing epilepsy should be added as a separate category, distinct from "hot-water epilepsy".
我们报告了两例因洗温水澡而引发癫痫的白种男孩病例。观察到了不同的诱发机制;在一个男孩中,全身浇水引起了部分复杂发作,而在另一个男孩中,浸入水中引起了部分复杂发作继发全面发作。由于在这两种情况下水都不热,因此病理生理机制尚不清楚,这些癫痫发作也不能解释为与体温过高相关的事件。我们建议,在国际抗癫痫联盟的癫痫和癫痫发作分类中,应将沐浴性癫痫作为一个单独的类别添加进来,与“热水性癫痫”区分开来。