We report an autopsy case of bathtub drowning in epilepsy.
A 26-year-old female with mental retardation had been treated for refractory epilepsy.
Her younger sister found her floating supine in the bathtub 45 min after starting bathing.
Neuropathological examination revealed cerebral cortical dysplasia in the precentral gyrus of the left hemisphere, which had not been detected by MRI, suggesting the etiology of epilepsy.
In bathtub submersion injury of an unidentified cause, neuropathological examination should be performed to reveal any lesion underlying epileptic seizures.
Additionally, we present statistics on bathtub submersion injury in children aged 5 years or older in Japan based upon nationwide survey data obtained in 1991.
Forty-seven percent of them had associated epilepsy or convulsive attacks and 71% died.
It is necessary for epileptic patients and their families to understand that the risk of bathtub drowning can be minimized if proper precautions are taken.
Mots-clés Pascal : Epilepsie, Réfractaire, Dysplasie, Cortex cérébral, Noyade, Baignoire, Arriération mentale, Japon, Asie, Fréquence, Etude cas, Adulte jeune, Homme, Femelle, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Anatomopathologie, Complication, Déficience intellectuelle, Trouble développement, Epidémiologie
Mots-clés Pascal anglais : Epilepsy, Refractory, Dysplasia, Cerebral cortex, Drowning, Bathtub, Mental retardation, Japan, Asia, Frequency, Case study, Young adult, Human, Female, Nervous system diseases, Central nervous system disease, Cerebral disorder, Pathology, Complication, Intellectual deficiency, Developmental disorder, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0032819
Code Inist : 002B17A03. Création : 17/04/1998.