JLE

Epileptic Disorders

MENU

Epileptic seizures provoked by bathing with water at room temperature Volume 14, issue 3, September 2012

An epileptic attack of complex partial seizure type, provoked by pouring lukewarm water over the child's body, was recorded by video-EEG monitoring. The attack started at 18:36:31 and finished at 18:38:29, according to the time displayed on the video-EEG. The seizure started as motor arrest and staring, with EEG correlate of rhythmic slow waves at 3-4 Hz over the left hemisphere, which continued for the next 42 seconds. From 18.36.50, biphasic sharp waves were registered above the anterior temporal left region for seven seconds. From 18:37:13 to 18:38:29, the child was motionless, stared, had oral automatisms and perioral cyanosis, and showed occasional generalised atonia with head drop. During this period, the EEG showed generalised delta activity with progressive slowing and increase of amplitude starting approximately one second earlier over the left fronto-central region. Towards the end of the attack, from 18:37:44 to 18:37:59, the short periods of EEG attenuation were recorded interchanging with periods of generalised delta activity. After spontaneous seizure cessation, the child started to cry and regained motor activity. Background activity became normal, consisting dominantly of fast symmetric theta waves. EEG conditions: longitudinal montage, calibration: 70 mcV; speed: 10 s/page.

> Download