A case of infant hot water epilepsy: A clinical commentary with video sequences

Hot water epilepsy in infants is a type of reflex epilepsy and is categorized as a provoked epilepsy. The seizures are precipitated when the infant is placed in water at a temperature above 37.5 8C [1]. The published literature contains several cases of seizures provoked by bathing in lukewarm water, which are described as hot water epilepsy [2]. This report presents a case of hot water epilepsy in a 7-monthold Caucasian infant. A 7-month-old infant was admitted to our hospital after two episodes of unresponsiveness while bathing. His mother noticed that after immersing of the lower part of the infant’s body in water, he suddenly became activity arrested, confused, experienced glazed–eyed staring and had facial cyanosis for approximately 1 min. At the end of the attack, the child fell asleep for approximately half an hour. After awakening, he was alert and looked well. The infant was the only child in the family, and the mother had an uneventful pregnancy and delivery. The child had attained normal developmental milestones. The family history was negative for epilepsy and febrile seizures. The child had normal neurological examination results, psychological status, laboratory tests, and neuroimaging analyses. An electrocardiogram (ECG)