首页 | 本学科首页   官方微博 | 高级检索  
     


Hot water epilepsy: Phenotype and single photon emission computed tomography observations
Authors:Mehul Patel  Parthasarathy Satishchandra  Hanumanthapura Aravinda  Rose D. Bharath  Sanjib Sinha
Affiliation:Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India;1.Department of NIIR, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
Abstract:
We studied the anatomical correlates of reflex hot water epilepsy (HWE) using multimodality investigations viz. magnetic resonance imaging (MRI), electroencephalography (EEG), and single photon emission computed tomography (SPECT). Five men (mean age: 27.0 ΁ 5.8 years) with HWE were subjected to MRI of brain, video-EEG studies, and SPECT scan. These were correlated with phenotypic presentations. Seizures could be precipitated in three patients with pouring of hot water over the head and semiology of seizures was suggestive of temporal lobe epilepsy. Ictal SPECT showed hyperperfusion in: left medial temporal — one, left lateral temporal — one, and right parietal — one. Interictal SPECT was normal in all five patients and did not help in localization. MRI and interictal EEG was normal in all the patients. The clinical and SPECT studies suggested temporal lobe as the seizure onset zone in some of the patients with HWE.
Keywords:Hot water epilepsy   magnetic resonance imaging   single photon emission computed tomography   temporal lobe epilepsy
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号