Hot water epilepsy with pineal cyst and cavum septi pellucidi

Pineal cysts in children: case-based update

PURPOSE

Pineal cysts (PC) are found in children as often asymptomatic and without change in their size over the time. However, there are some debatable issues about their evolution and management in the pediatric population. The aim of the present paper is to update the information regarding pathogenesis, clinical presentation, and management of these lesions.

METHODS

All the pertinent literature was reviewed, and a meta-analysis of operated on cases was carried out. An illustrative case regarding the clinical evolution of a 13-year-old girl is also presented.

RESULTS AND CONCLUSIONS

PC are often asymptomatic and do not evolve over the time. However, since there is a certain risk of clinical and/or radiological progression, or even sudden and severe clinical onset (apoplexy), both a clinical and radiological follow-up is recommended in the pediatric age. The surgical excision is usually limited to symptomatic patients or to cases with clear radiological evolution.

Pseudo hot water epilepsy: A pilot study on behavioral psychotherapeutic management

BACKGROUND

Diagnostic accuracy of Hot Water Epilepsy (HWE) on history alone was observed to be less satisfactory by the first author while managing such patients psychologically. To confirm this observation this pilot study was planned.

MATERIALS AND METHODS

Symptoms as reported by the patient was confirmed by the two authors in the wards by giving them Hot Water Head Bath. Following this they were subjected to behavioral Psychotherapeutic treatment to relieve them from their distressful symptoms.

RESULTS AND CONLUSION

Confirmed the hypothesis and it was concluded that by witnessing the symptoms of HWE by the treating doctor would improve the outcome of any treatment.

Hot water epilepsy with pachygyria

Hot water epilepsy (HWE) refers to a specific type of reflex epilepsy precipitated by the stimulus of bathing in hot water. Pathogenesis is still unknown and temporal lobe has been thought to take part in the epileptogenesis. HWE can be symptomatic of focal cortical malformation, and few cases were reported. This is the third report of HEW in which a parietal malformation has been observed. Our hypothesis that sensory cortex might be implicated in the epileptogenic process is corroborated by two previous reports on patients with HWE and malformation of the parietal cortical development.