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Journal of Child Neurology
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Hot Water Epilepsy: A Benign and Unrecognized Form

Christine Ioos

Department of Pediatric Neurology Department of Clinical Neurophysiology Hôpital Raymond Poincaré

Martine Fohlen

Department of Pediatric Neurosurgery and Epilepsy Surgery Fondation Ophtalmologique de Rothschild

Nathalie Villeneuve

Department of Pediatric Neurosurgery and Epilepsy Surgery Fondation Ophtalmologique de Rothschild

Nicole Badinand-Hubert

Department of Clinical Neurophysiology Hôpital Debrousse Lyon, France

Claude Jalin

Department of Pediatric Neurosurgery and Epilepsy Surgery Fondation Ophtalmologique de Rothschild

Fawzia Cheliout-Heraut

Department of Pediatric Neurology Department of Clinical Neurophysiology Hôpital Raymond Poincaré

Jean-Marc Pinard

Department of Pediatric Neurology Department of Clinical Neurophysiology Hôpital Raymond Poincaré Garches, France, Department of Pediatric Neurosurgery and Epilepsy Surgery Fondation Ophtalmologique de Rothschild Paris, France

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. (J Child Neurol 2000;15:125-128).

Journal of Child Neurology, Vol. 15, No. 2, 125-128 (2000)
DOI: 10.1177/088307380001500211
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