Co-occurrence of Mesial Temporal Lobe Epilepsy and Hot Water Epilepsy: A Case Report

Hot Water Epilepsy (HWE) is a rare form of complex reflex epilepsy precipitated by bathing in hot water. Seizures may be controlled by using warm water, short bathing duration and antiepileptic drugs. The exact physiopathology of HWE is still unknown. A few neuroimagining studies demonstrated structural lesions. Because of the common presentation of complex partial seizuresand epileptic focus in temporal lobes in EEG recordings, temporal lobes may have a role in HWE. We reported a 35-year old female with left mesial temporal sclerosis in cranial magnetic resonance imagining. At the beginning she had seizures during hot bathing in her childhood, later she had treatment - resistant complex partial seizures. It is learned that she had epileptic seizures precipitated by hot water for five years without treatment and then she had treatment resistant complex partial seizures. We aimed to discuss the pathogenesis of HWE and if it is a usually benign form epilepsy by this case who had HWE and developed resistant mesial temporal lobe epilepsy.