A Case Report of a Diagnosis Challenge: Hot Water Epilepsy and Anxiety Disorder

Reflex epilepsy is a specific form of epilepsy, distinguished by the occurrence of seizures in response to specific external stimuli [1]. A notable example of this condition is what is known as Hot Water Epilepsy(HWE), which is characterized by the occurrence of seizures triggered by the pouring of hot water. This particular form of epilepsy was first documented in 1945, with subsequent reports of cases being reported in the years that followed [2-5]. A number of case series have been conducted, particularly in India, and it has been reported that 3.6% of all epilepsies have been documented [6]. However, this rate is significantly lower in Western countries. In such cases, genetics and bathing habits may have a role to play [5].Whilst the condition was categorized as belonging to the reflex epilepsy group in the Ilae classification, it is not specifically categorized in the new classification [8.9]. In our case, the diagnostic difficulty is emphasized.