Journal of Pediatric Academy
Year: 2020 Issue: 1 Number: 1
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Cite this article as: Çıraklı S, Kaçar Bayram A, Akdemir A, Canpolat M, Kumandaş S, Gümüş H, Per H. Clinical and
EEG Features, Treatment, and Outcome of Hot Water Epilepsy in Pediatric Patients. J Pediatr Acad 2020; 1(1): 21-24.
Clinical and EEG Features, Treatment, and Outcome
of Hot Water Epilepsy in Pediatric Patients
Introduction: Hot water epilepsy is a type of reflex epilepsy which generally occurs with
pouring water on the body during bath.
Objective: The aim of this study is to evaluate the clinical and electrophysiological features,
treatment, and outcome of the pediatric patients with diagnosis of hot water epilepsy.
Materials and Methods: Patients were followed and treated at Erciyes University, between
January 2010 and January 2016.
Results: There were 15 patients total, included 9 (60%) boys and 6 (40%) girls. The average
age at diagnosis was 30 months (range: 13-60 months). The follow-up period was 16 months
(range: 12-48 months). Seven patients (46.6%) had focal seizures with impaired consciousness,
four (26.7%) had focal seizure and four (26.7%) had focal starting and generalized tonic-clonic
continuing seizures. Seven patients (46.6%) had abnormal interictal EEG findings, ranged
from unilateral slowing of the background activity to bilateral sharp wave. Intermittent clobazam
treatment (0.8-1.2 mg/kg) was given to 13 patients (86.7%). Other epileptic treatments were
used in 5 (33.3%) patients. Three patients (20.0%) developed nonreflex seizures during followup period.
Conclusions: Intermittent clobazam prophylaxis prior to hot water bath, as well as changing
bathing habits can be effective in pediatric patients with hot water epilepsy.