The role of epileptic seizures in burn etiology: A Burn Center Experience

Background: During epileptic seizures, individuals are vulnerable to trauma and secondary injuries due to their inability to protect themselves. Among these injuries, burns can lead to significant morbidity and even mortality. The aim of this study is to present data on the clinical features and treatment methods of burns due to epileptic seizures treated in our burn center. Methods: Digital records of patients who were hospitalized and treated at our burn center between January 2022 and June 2025 were retrospectively analyzed. Patients aged 18 years and older who sustained burn injuries during epileptic seizures constituted the study group. Demographic data, burn etiology, burn characteristics, treatment methods, and length of hospital stay were recorded and analyzed. Results: Among the 1652 patients evaluated during the study period, burn injuries related to epileptic seizures were identified in 17 cases (1.02%). The median age was 43 years (range: 21–67), and 52.8% of the patients were female. Scalding was the most common cause of burns (76.5%), and all incidents occurred in a home environment. The most frequently affected area was the lower extremities (52.9%). In 58.8% of the cases, the total body surface area (TBSA) affected was less than 10%. Surgical grafting was required in only two patients, and no amputations were needed. Conclusion: Burn injuries sustained during epileptic seizures represent a preventable but significant cause of morbidity. Enhancing household safety measures, ensuring regular follow-up for epilepsy patients, and implementing educational programs may be effective in preventing such injuries.