[Thermal trauma sustained during epileptic seizures--analysis of 33 cases].
OBJECTIVE
Burn injuries are a serious threat to individuals with altered consciousness during epilepsy. The objective of this study detailing 33 individuals who sustained scalds or burn injuries during an epileptic seizure, was to clarify typical injury mechanisms, extent, therapy and sequelae of these injuries and thus identify potential preventive measures to protect this special population from thermal trauma.


RESULTS
Overall, 16 women and 17 men with a mean age of 39.6 (range: 21 - 76) years were included in this retrospective review. The burned body area averaged 16 % (maximum: 51 %), 30 of the 33 patients (91 %) required burn wound excision and skin grafting. The mean ABSI score was 5.5 (range: 3 to 11) points. Thermal trauma mostly occurred as hot water scalds (n = 19) during showering or bathing in a tub (n = 15), followed by falls during cooking or into open fire. None of our patients was informed about the risk of experiencing severe thermal injuries during epileptic seizures. The length of intensive care averaged 33 days (maximum: 79 days), all patients survived. The estimated treatment costs were at least 50,000 Euros per patient.


CONCLUSIONS
In conclusion, epileptic seizures can cause severe and deep thermal trauma. Our data shows that most of these injuries happen at home and may be easily prevented by simple safety devices, such as water thermo-regulators or the avoidance of high-risk situations, it seems advisable to inform patients with epilepsy and their families and care-givers of this specific danger.
Aust
M
M
Klinik für Wiederherstellungschirurgie, Universitätsspital Zürich, Schweiz. aust_matthias@gmx.de
Guggenheim
M
M
Gohritz
A
A
Künzi
W
W
Handschin
A
A
Vogt
P
P
Giovanoli
P
P
D000061:Accidents, Home / Q000517:prevention & control; D000328:Adult; D000368:Aged; D002056:Burns / Q000191:economics / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery* / Q000628:therapy; D003422:Critical Care; D004827:Epilepsy / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors