We exist to improve the lives
of everyone affected by epilepsy

Reflex epilepsies

Reflex epilepsies are uncommon. They are epilepsies where all or nearly all seizures happen as a result of a specific trigger.

Triggers can be thought of as external, for example looking at flashing or flickering lights or hearing specific music. Or they can be internal, for example thinking hard about something in particular, like mathematical sums.

Different types of reflex epilepsies

Photosensitive epilepsy

Photosensitive epilepsy is a type of epilepsy where flickering or flashing lights, and sometimes strong patterns (usually stripes), trigger seizures. It affects around three in every 100 people with epilepsy.

Epilepsy Action has more information about photosensitive epilepsy.

Reading epilepsy

Reading epilepsy usually starts in the teenage years. In this type of epilepsy, reading triggers brief jerks (myoclonic seizures) around the jaw and mouth. If you carry on reading when the jerks are happening, there is a risk you may go on to have a tonic-clonic seizure. Certain types of reading may be more likely to trigger seizures. These include reading aloud, reading complex texts and reading foreign languages.

Epilepsy Action has more information about seizure types.

Hot water epilepsy

In hot water epilepsy, seizures are triggered by being in hot water (such as in a bath), or by having hot water quickly thrown over your head or body. It is most common in older children and teenagers in Southern India. Less commonly, people outside India may have this type of epilepsy.

Musicogenic epilepsy

People with musicogenic epilepsy have seizures triggered by hearing certain sounds, usually music. Some people only have a seizure when they listen to a specific musical track or tune. Other people have reported having seizures triggered by a particular type of music, or by music played on a particular instrument. Seizures in this type of reflex epilepsy are usually focal seizures.

Other types of reflex epilepsy

Researchers have written about many other things that can trigger seizures in people with reflex epilepsy. These include simple things, such as being touched or tapped, or being startled by a sudden noise. They also include more complex things, such as tooth brushing, eating, playing chess, doing mathematical sums, writing, solving puzzles and so on. These types of epilepsy are very rare and are often the subject of clinical and scientific interest. If you have one of these epilepsies, the same, specific, thing always triggers your seizures.

Seizure types

There are many different types of epileptic seizure. Any type of seizure can happen in reflex epilepsy, but generalised seizures, particularly myoclonic seizures, appear to be most common.

Epilepsy Action has more information about seizure types.

Treatment for reflex epilepsy

Wherever possible, you should try to avoid the thing that triggers your seizures. But if this is difficult, or you also have seizures that don’t have a trigger, you may want to consider taking epilepsy medicines.

Epilepsy Action has more information about epilepsy medicines.

Research into reflex epilepsies

Despite the fact that reflex epilepsies are rare, there is a lot of scientific interest in them. Researchers want to find out why a specific activity or stimulus can trigger an epileptic seizure. Research also continues into why certain things can trigger seizures in some people, but not in others.

If you would like to see this information with references, visit the Advice and Information references section of our website. If you are unable to access the internet, please contact our Epilepsy Action freephone Helpline on 0808 800 5050.


Our thanks

Epilepsy Action would like to thank Dr K Hamandi, Consultant Neurologist at University Hospital of Wales, for contributing to this information.  

Dr K Hamandi has no conflict of interest to declare.

This information has been produced under the terms of The Information Standard.

  • Updated October 2015
    To be reviewed October 2018

Comments: read the 11 comments or add yours


hi there my son can not go into bath water or have water touch his feet without deverstating seizures please can u help he is 16 months old. And called noah

Submitted by elisabeth on

Hi Elisabeth
Thanks for your message. It must be very upsetting to see your son having seizures. Although it’s rare, as you can see on this page there is a type of epilepsy where seizures can be triggered by hot water. Have you taken Noah to the doctor about his seizures? They will be able to look into why the seizures are happening and let you know if they think he needs treatment.

If you have any further questions please feel free to contact the Epilepsy Action Helpline.

Epilepsy Action Advice and Information Team

Submitted by Grace, Epilepsy... on

My daughter has seizures after going to the toilet .eating and showering is this normal

Submitted by K on


I can see that you have posted your question on our reflex epilepsies page, so am aware that you may now know that some people can have seizures because of a specific trigger. Although these are rare, it would be worth you talking to your daughter’s epilepsy doctor about what you have noticed. This will mean they can explore this thoroughly with you and make sure your daughter is getting the best treatment for her. 

You may find it helpful to keep a seizure diary. This may help you to identify any patterns, and so support you when you are talking to her epilepsy doctor.


Epilepsy Action Helpline Team

Submitted by rich on


I have temporal lobe epilepsy after resection of an astrocytoma 15 years ago. I have noticed that when I listen to string instruments the incidence of my partial seizures increases. I listen to this music when I'm studying to help concentration. Could the music be a trigger to my epilepsy? Before the tumour was diagnosed I used to wake up at night thinking I could hear classical string music, this seems to be related.

Thank you for your help.


Submitted by Sarah Fry on

Hi Sarah,


It is entirely possible your seizures are triggered by music and specific instruments in particular.


Although the music aids in your study, if it is causing you a problem it might be wise to stop listening to classical music all together.


Epilepsy Action

Submitted by rich on

I really appreciate ur website my 16m old grandson & his mom/my daughter have water sezures. He's already had the eeg done & will be having an over night eeg soon. Over all it hasn't affected his development but we r very careful when giving him a bath so we don't trigger one. I did have to record one off his seizures to prove to the neurologist what was going on. Thank u again

Submitted by Jamie Greene on


When one has reflex epilepsy, would they only seizures due to a specific trigger, or can they also have seizures due to several unknown triggers? My 17 year old daughter suffers from myoclonic seizures and tonic clonic seizures (myoclonic every day and tonic clonic averaging at about one a week, has been known to be more or less). We're not sure what causes all of her seizures, we are still in the process of trying to find a pattern by keeping a log of seizures, sleep patterns, eating patterns, moods, menstrual cycles etc. She has not yet identified a warning before her seizures occur. One of her triggers appears to be brushing her teeth. However, other triggers would include low sun flashing through the trees when in the car and less than 8 hrs sleep per night or a restless night. Would this be classed as reflex epilepsy? Thank you

Submitted by Samantha Morgan on

Dear Samantha

Thank you for your question.

Generally people with epilepsy can experience more than one type of seizure. So it may be possible for someone to have reflex and other types of seizures.

Epilepsy is a very individual condition, some people can have obvious triggers or patterns but some people won’t. 

By keeping the log of your daughter’s seizures, if there are triggers or patterns this should help you and her epilepsy doctor to see this.

If we can be of any more help, please feel free to contact us again, either by email or the Epilepsy Action Helpline freephone 0808 800 5050. Our helpline is open Monday to Friday, 8.30am until 5.30pm.



Epilepsy Action Helpline Team

Submitted by Diane-Epilepsy ... on

I have heard about hot water bringing on a seizure. Recently, I burned my finger while cooking and while holding it under painfully cold running water for several minutes I had a seizure. Was this just a coincidence or could the cold have triggered it? My condition is very well controlled by medication normally.

Submitted by Alexander Howe on

Hi Alexander

When hot water is a seizure trigger it is usually part of a rare reflex epilepsy.

It may have been the more general stress of the situation that triggered the seizure.

Hope the burn wasn’t too bad.



Epilepsy Action Helpline Team


Submitted by Cherry-Epilepsy... on