[A case of Psychogenous Crisis, a Linking Psychiatric Pathology]. / Crisis psicógena, una patología psiquiátrica de enlace. A propósito de un caso.

Psychogenous seizures described by Charcot, are an entity that can be difficult to distinguish from epileptic seizures. 70% of these patients have an underlying psychiatric diagnosis. We describe the case of a female patient who was diagnosed with seizures for several years, poly-medicated, and included in the epilepsy surgery protocol for refractory patients. During the evaluation, a psychogenous origin was discovered for such crises. We analyzed the clinical criteria and laboratory tests that allow us to approach the differential diagnosis between both entities.

Pericardial cyst. Surgical resection in two symptomatic cases.

Two cases of surgical resection of symptomatic pericardial cysts are reported. Pathological aspects, diagnostic methods and alternatives of management in these benign lesions are discussed. Other excised cases are also mentioned. The authors recommend excision of these cysts in all patients with a low risk in order to: 1) eliminate the tumour mass, 2) relieve symptoms and 3) allow histological examination.