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Intra-Familial Incidence and Characteristics of Hot Water Epilepsy

Published online by Cambridge University Press:  02 December 2014

Yuksel Kaplan ,
Semiha G. Kurt ,
Hatice Karaer ,
Basar Sarikaya  and
Nerses Bebek
Yuksel Kaplan*
Affiliation:
Department of Neurology, Turgut Ozal Medical Center, Malatya
Semiha G. Kurt
Affiliation:
Department of Neurology, Gaziosmanpasa University Faculty of Medicine, Tokat
Hatice Karaer
Affiliation:
Department of Neurology, Gaziosmanpasa University Faculty of Medicine, Tokat
Basar Sarikaya
Affiliation:
Department of Radiology, Gaziosmanpasa University Faculty of Medicine, Tokat
Nerses Bebek
Affiliation:
Department of Neurology, Istanbul University Faculty of Medicine, Istanbul, Turkey
*
Inonu Universitesi, Turgut Ozal Tip Merkezi, Noroloji Anabilim Dali, Malatya, Turkey
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Abstract

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Objective:

To assess the clinical features of several members of the same family diagnosed with both hot water epilepsy (HWE) and cerebral lesions.

Methods:

Age at onset and types of seizure, precipitating factors, EEG findings, and neuroimages were evaluated.

Results:

The family consisted of six generations, including one consanguineous parent. Of eight family members diagnosed with epilepsy, seven suffered from HWE. Age at onset of seizures ranged within childhood. Seven patients with HWE experienced complex partial seizures, with or without secondary generalization; one experienced simple partial seizures as well as complex partial seizures. Three patients experienced spontaneous seizures as well as HWE. Interictal EEG revealed abnormalities in two patients. Magnetic resonance imaging revealed cerebral lesions in one patient, probably attributable to ischemic changes. Magnetic resonance images were consistent with findings of ischemic gliosis in two patients, and either demyelinating or ischemic gliosis in one patient.

Conclusions:

Descriptions of HWE families with different ethnic backgrounds may permit more definite conclusions regarding the mechanisms epileptogenesis, and the genetic defects that underlie this disease.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 36 , Issue 5 , September 2009 , pp. 575 - 581
Copyright
Copyright © The Canadian Journal of Neurological 2009

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