Recent epileptic seizure from 60 immunocompromised patients: clinical, etiological and therapeutics characteristics Volume 21, issue 2, avril-mai-juin 2009


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Service de neurologie, CHU de Cocody, BP V 13 Abidjan 01, Côte-d’Ivoire, Service de neurologie, CHU de Bouaké, Côte-d’Ivoire, Service de neurologie, CHU de Yopougon, Côte-d’Ivoire

Epileptic crises are common at all stages of evolution of AIDS and reflects a severe immune deficiency. The generalized tonic clonic crises are the main event. The lumbar puncture, computed tomography (CT), magnetic resonance imaging (MRI) and other neuroimaging examinations are necessary to balance the etiological. Toxoplasmosis is the main cause of crises on the ground, followed by cryptococcosis of encephalitis in Mycobacterium tuberculosis. The HIV virus itself is often charged. There are a significant proportion of undetermined causes that justify the execution of neuropathological examinations. The first generation of antiepileptic drugs are the most prescribed in our work with good results on the crises. The prognosis depends on the crisis etiology, it is generally favorable in the short term. In the long term recurrences are possible.