[Previous dissociative psychiatric disorder and status epilepticus in a case of acute HIV infection]. / Trastorno disociativo psiquiátrico previo y status epiléptico en un caso de infección aguda por VIH.

We described an 18 old homosexual man who after 5 days developed a neurologic picture associated with Human Immunodeficiency Viruses (HIV) seroconversion. The patient had developed a dissociative psychiatric disorder 6 months before, and after resolution of the acute neurologic disease a mild neuro-psychiatric disorder remained. After mononucleosis-like syndrome of three weeks, the patient developed a meningo-encephalitic process 48 h post admission. He evolved with tonic seizures and twilight state and was admitted into Intensive Care Unit because of epileptic status and deep coma. Evolution was favourable after 72 h of treatment with acyclovir and antiepileptic drugs. Laboratory data showed an inverted T4/T8 ratio and seroconversion to HIV-antibodies and p24-antigen both in serum and CSF. These observations confirm the existence of psychiatric as well neurological alterations in acute HIV infection, and also the significance of p24-antigen and Western-Blot in serum and CSF in showing the seroconversion profile.

[Intracranial calcifications in the differential diagnosis of epileptic disease]. / Calcificaciones intracraneales en el diagnóstico diferencial de la enfermedad epiléptica.

We report the case of a patient with a history of goiter operation 26 years before who present recurrent convulsive episodes diagnosed of epilepsy. Our study shows that this clinical setting is a Fahr's Syndrome (intracranial calcifications and chronic Hypoparathyroidism). We compare our case with others of the medical literature and analyze the neurological findings in regard to the type of intracranial calcifications and the severity and duration of hypocalcemia.