Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2012     Vol 37     No 3
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      UDK 616.853

ISSN 035-2899, 37(2012) br.3 p.169-172

Case report

Hot water epilepsy (HWE)
Epilepsije izazvane toplom vodom

Jelena Nikodijević Dobrosavljević
Zdravstveni centar Zaječar, Neurološko odeljenje


A twenty-one-year old patient, who had been suffering from "hot water epilepsy" (HWE) since he was seven, comes to see his epileptologist for a regular check. The attacks occur as complex partial seizures with occasional secondary generalization, and generally are precipitated by bathing in warm water. They started with the carbamazepine therapy, which achieved good seizure control, but because of the adverse effects, they had to change to valproates, and then on lamotrigine. Because of occasional deterioration, the drug combination was changed, topiramate was introduced, and levetiracetam later on. The clinical condition varied with such a therapy and eventually led to pharmacoresistance. Interictal EEG showed occasional epileptogenic activity. Given that this was a young man with a complex disease, further diagnostic and therapeutic aspect must be multidisciplinary.
Key words: epilepsy precipitated by bathing, hot water epilepsy, children

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Jelena Nikodijević Dobrosavljević
Zdravstveni centar Zaječar
Odeljenje za neurologiju
Paper received: 13.4.2012
Paper accepted: 19.5.2012
Paper Internet issues: 27.12.2012.

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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija

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