Hot water epilepsy with alone and spontaneous seizures in childhood.
Epilepsy Res
; 205: 107418, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-39003967
ABSTRACT
OBJECTIVES:
Hot water epilepsy (HWE) is a type of epilepsy that primarily affects children. This study was aimed to evaluate the clinical, electroencephalogram (EEG), neuroimaging findings, and treatment options in children with HWE.METHODS:
The medical records of 24 patients who had HWE were evaluated retrospectively.RESULTS:
There were 2767 patients diagnosed with epilepsy during the seven-year period, and 0.86â¯% of the patients had HWE. The median age of the patients was three (range 1.2-7 years), with a male predominance (male/female ratio 7.1). Six patients (25â¯%) had HWE with spontaneous seizures (HWESS) and 18 patients (75â¯%) had HWE alone (HWEA). 11 patients had focal onset seizures, 13 patients had generalized onset seizures. EEG abnormalities were found in 7 patients (29.2â¯%). Three patients (12.5â¯%) had nonspecific MRI findings. Developmental abnormalities (autism spectrum disorder, learning disability and speech disturbance.) were detected in 8 patients (33.3â¯%). Only one patient's (4.2â¯%) seizure could be controlled by changing bathroom habits. Twenty-three patients (95.8â¯%) were given antiepileptic drugs. 18 of 24 patients had come for follow-up visits for two years, nine of them used monotherapy and seizures did not recur. The treatment response was 55.5â¯%. Oxcarbazepine (8 patients, 33.3â¯%) and valproic acid (7 patients, 29.2â¯%) were the most chosen two drugs for HWE. The genetic tests performed were not accepted relevant to the patients' clinical conditions and epilepsy.CONCLUSION:
The frequency of the HWE was not as high in the literature. Male predominance, EEG abnormalities may be seen. Changing bath room habits did not improve the treatment as a first line management, all the patients except one used antiepileptic drug treatment. Until now, there has been no study in Turkey showing the frequency of HWE exclusively in children.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Convulsões
/
Eletroencefalografia
/
Anticonvulsivantes
Limite:
Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article