Hindawi Publishing Corporation Case Reports in Medicine Volume 2010, Article ID 134578, 2 pages doi:10.1155/2010/134578 Case Report Hot Water Epilepsy in a Pregnant Woman: A Case Report Aysel Milanlıo˘ glu, 1 Temel Tombul, 2 and Refah Sayın 2 1 Department of Neurology, Bitlis State Hospital, 13100 Bitlis, Turkey 2 Department of Neurology, Faculty of Medicine, Y¨ uz¨ unc¨ uYıl University, 65080 Van, Turkey Correspondence should be addressed to Aysel Milanlıo˘ glu, ayselmilanlioglu@yahoo.com Received 25 August 2010; Accepted 21 November 2010 Academic Editor: Michael S. Firstenberg Copyright © 2010 Aysel Milanlıo˘ glu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Hot water epilepsy is a unique form of reflex epilepsy precipitated by the stimulus of bathing with hot water poured over the head. It is mostly seen in infants and children, with a predominance in males. Unlikely, we present a 32-year-old pregnancy woman with the incipient of reflex seizures triggered by pouring hot water over the head while having a bath during the gestation period and treated successfully with carbamazepine 400 mg/day therapy. Hot water epilepsy is known as a benign and self-limited reflex epilepsy, by firstly avoiding hot water or long showers and secondly using intermittent benzodiazepines or conventional antiepileptic drugs, may be sufficient to be seizure-free. 1. Introduction Hot water epilepsy (HWE) is a rarely seen, benign form of reflex epilepsy which is precipitated by the stimulus of bathing with hot water poured over the head. It is considered to be a geographically specific epileptic syndrome since it mainly occurs in India. Almost all cases of HWE are seen in healthy children, with the cases more frequent among male than female patients [1]. Interestingly, we report a 32-year-old pregnant woman with the onset of reflex seizures triggered by pouring hot water over the head while having a bath. 2. Case Report A 32-year-old, three-month pregnant woman came to our outpatient clinic with the complaint of incipient seizures while having a bath by pouring hot water over the head since two months earlier. She had auras preceding her seizures. These auras were associated with feeling a epigastric sensation, staring, oral automatism, and followed by loss of consciousness. Postictal state was characterised by a severe throbbing headache and drowsiness. Seizures occurred twice a month and always during bathing. Till the admission, she had four similar seizures. She had no spontaneous seizures before the onset of her reflex seizures. There were no family history of epilepsy and no past history of febrile convulsions, mental retardation, birth anoxia, or head trauma. Physical and neurological examinations were normal. Complete blood count, blood biochemistry, elec- trocardiography, interictal electroencephalography (EEG), and magnetic resonance imaging also revealed normal findings. Avoiding the seizures, short-lasting bathing with luke- warm water instead of hot water was recommended. One month followup, her seizures did not stop during regular bath. Hence, she was put on carbamazepine 400 mg/day and completely remained seizure-free. 3. Discussion HWE is a reflex epilepsy in which the seizures are provoked by contact with hot water over the head [2]. A large number of patients with HWE have been reported from India.There have been some case reports from all round the world, such as Turkey. Traditionally, Turkish people bathe by sitting and pour- ing hot water over the heads with a bowl. The temperature of water varies between 40 and 50 ◦ C, and water poured on head