Double thrombose des cavites cardiaques gauches : a propos d'un cas observe au CHU - Campus de Lome. Cas clinique

Nous rapportons une observation d'une double thrombose du ventricule gauche et de l'oreillette gauche chez un sujet de 45 ans. Le diagnostic a ete realise grace a une echo-graphie bidimensionnelle Transthoracique qui a mis en evidence un aspect de cardiomyopathie dilatee hypokinetique ainsi que deux volumineux thrombus; l'un tapissant a la pointe du ventricule gauche et l'autre flottant dans la cavite de l'oreillette gauche. Le traitement chirurgical etant inaccessible; un traitement medical a ete institue : anticoa-gulant associe au repos; au regime desode; aux diuretiques; et aux inhibiteurs de l'enzyme de conversion. L'evolution a court terme a ete favorable; sans accident embolique. Mais le pronostic a long terme est reserve et depend de la cardiomyopathie elle-meme

Status epiléptico no convulsivo: una entidad heterogénea de difícil diagnóstico. Reporte de dos casos con presentación inusual / Non convulsive status epilepticus: an heterogeneous disease with a difficult diagnosis. Report of 2 cases with unusual presentation

Non convulsive status epilepticus is a heterogeneous condition consisting of very different electroclinical syndromes. It is difficult to make the diagnosis and identify common factors among patients. We report two cases with an unusual presentation. A 31 years old woman having discoid lupus presented with a prolonged exogenous psychosis that lasted two and half months, associated to echolalia. After the episode the patient remained with a severe frontal syndrome that could be the consequence of a non convulsive status epilepticus. A 60 years old woman with an epilepsy diagnosed at the age of 30, presented with recurrent episodes of aphasia. During one of these crises, the electroencephalogram showed continuous epileptiform activity.