[Landau-kleffner syndrome]

Landau-Kleffner syndrome is a rare disorder caraterised by acquired aphasia of children, paroxysmal electroencephalographic disturbance and in 75% of cases epileptic seizures and cognitives disturbances. We report a 6 year old daughter who presented epileptic seizures and six months later regression langage and a behaviour of deaf. This patient had a global aphasia. The understanding was affected because of the cortical deafness. The electroencephalogramme showed discharges in the temporal bilateral regions. The cerebral scan and the potential evoked auditory were normal. The Landau-Kleffner syndrome's diagnosis was confirmed. The patient was treated by valproic acid and corticosteroids with good evolution. The stoopage of treatment has brought more seizure and the worsening aphasia. The authors discussed the pathogenic hypothesis, the semiology and the treatment of the Landau-Kleffner syndrome

Les formes neuro-psychiatriques des meningoencephalites tuberculeuses

The study of 47 patients with neuropsychiatric form of tuberculous meningitis effectuated in the service of neurology that: - The age of the onset is between 15 and 40 years in 80% of the cases. - The diagnosis is often late because the psychiatric forms are very unknown, and so, mortality stays very important [36%]. - The study of cerebrospinal fluid can be normal in the encephalitic forms and the Koch's bacillus is rarely found [only in 50% of the cases]. - We have found: * 11 meningitis forms * 8 neurologic forms. and 28 forms where the main manifestations were psychiatric. - The electroencephalographic study appears very important in these forms and we have found EEG abnormalities in 100% of the cases. - The prognosis of these meningoencephalitis is severe and it is necessary to begin the treatment in the doubtful forms, while the etiologic research is begun