Spontaneous hemorrhages of cerebral arteries

The authors report here 6 cases of protuberantial hematomas with a dramatic course in 5 patients. The arterial hypertension represents the greater cause, it was found to be present in 4 patients. The begining mode was sudden in all cases and the clinical picture was clearly marked by coma. The cerebral C.T. scan allowed the diagnosis, whereas the arteriography that was carred out in 2 cases was normal. No surgical management was expected. The course was marked by a mortality rate of 83%

Lesfistules carotido-caverneuses: [a propos de 16 cas]

The authors report here their own experience about 16 carotido-cavernous fistula cases, managed from 1976 to 1990. The mean age of patients is 30 years with equal distribution in the two sexes. The traumatisme notion is found to be present in 15 case In all cases, exophtalmos constitues the most constant symptom. The carotid arteriography. Was too useful to confirm the clinical diagnosis. The therapeutical management has led to immediat disappearance of all functional signs. As For exophtalmos, the total regression was noted in 10 patients. The mortality rate was 19%

Une complicatlion inhabituelle de la derivation ventriculo-peritoneale

The authors report herein a case of [externalization] spontaneous externalization of the peritoneal catheter by anus in a girl, carrier of a ventriculo-peritoneal shunt. Withdrawal of this catheter did not appear, nor by peritonitis, nor by meningitis

mixed approach O.R.L. and neuro-surgery of malignant ethmoidea-frontal tumors

The authors present a technical of ethmoidectomy, by a mixed way, frontal and para-lesevel nose to excise the ethmoidal tumors. This technical requires a surgical team with experience, in the problems, of neuro-surgery and O.R.L. The authors expose their experience about six cases operated between 1983 and 1990