Vidal Esteban Arantxa, Galán Del Río Pilar, de Santos Moreno Teresa, Muñoz Amat Bárbara, Rivero Martín María J
Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
Hospital Universitario Clínico San Carlos, Madrid, España.
Arch Argent Pediatr. 2020 Apr;118(2):e183-e187. doi: 10.5546/aap.2020.e183.
Hot-water epilepsy is a rare type of seizure whose pathophysiology is unknown. These reflex seizures usually begin a few seconds after contact with water, commonly at temperatures between 37-48 ºC. Automations and complex partial crises, with or without secondary generalization, are the main manifestation mode of this type of reflex epilepsies. Neurological examination and intercritical electroencephalography are usually normal, which may condition a delay in diagnosis, and the clinical suspicion is fundamental. Antiepileptic treatment is initiated when associated with another type of epilepsy or when certain simple measures, such as lowering the water temperature in the bath, do not control crises. Spontaneous disappearance is possible; when pharmacological therapy is necessary, there is usually a good response. We present the case of an infant diagnosed with hot-water epilepsy. Key words: seizures, reflex epilepsies, hot water-induced reflex epilepsy.
热水诱发性癫痫是一种罕见的癫痫发作类型，其病理生理学尚不清楚。这些反射性癫痫发作通常在接触水后几秒钟开始，常见于37-48摄氏度的水温。自动症和复杂部分性发作，伴或不伴有继发性全面发作，是这类反射性癫痫的主要表现形式。神经系统检查和发作间期脑电图通常正常，这可能导致诊断延迟，临床怀疑至关重要。当与另一种癫痫类型相关或某些简单措施（如降低浴缸水温）无法控制发作时，开始抗癫痫治疗。有可能自发消失；当需要药物治疗时，通常反应良好。我们报告一例诊断为热水诱发性癫痫的婴儿病例。关键词：癫痫发作、反射性癫痫、热水诱发的反射性癫痫
