Osamura T, Fushiki S, Yoshioka H, Yamanaka T, Mizuta R
Department of Pediatrics, Kyoto Second Red Cross Hospital, Japan.
Brain Dev. 1997 Nov;19(7):499-501. doi: 10.1016/s0387-7604(97)00064-8.
We report an autopsy case of bathtub drowning in epilepsy. A 26-year-old female with mental retardation had been treated for refractory epilepsy. Her younger sister found her floating supine in the bathtub 45 min after starting bathing. Neuropathological examination revealed cerebral cortical dysplasia in the precentral gyrus of the left hemisphere, which had not been detected by MRI, suggesting the etiology of epilepsy. In bathtub submersion injury of an unidentified cause, neuropathological examination should be performed to reveal any lesion underlying epileptic seizures. Additionally, we present statistics on bathtub submersion injury in children aged 5 years or older in Japan based upon nationwide survey data obtained in 1991. Forty-seven percent of them had associated epilepsy or convulsive attacks and 71% died. It is necessary for epileptic patients and their families to understand that the risk of bathtub drowning can be minimized if proper precautions are taken.
我们报告一例癫痫患者浴缸溺水的尸检病例。一名26岁智力发育迟缓的女性因难治性癫痫接受治疗。其妹妹在她开始洗澡45分钟后发现她仰卧漂浮在浴缸中。神经病理学检查发现左半球中央前回存在大脑皮质发育异常，这在磁共振成像（MRI）中未被检测到，提示癫痫的病因。对于原因不明的浴缸浸没伤，应进行神经病理学检查以揭示癫痫发作的任何潜在病变。此外，我们根据1991年全国性调查数据呈现了日本5岁及以上儿童浴缸浸没伤的统计数据。其中47%伴有癫痫或惊厥发作，71%死亡。癫痫患者及其家属有必要了解，如果采取适当预防措施，浴缸溺水风险可降至最低。
