[Anesthesia and critical care for endovascular occlusion of ruptured intracranial aneurysms with electrically detachable coils]. / Anesthésie-réanimation pour occlusion endovasculaire des anévrismes intracrâniens rompus par des spires électriquement détachables.

The endovascular occlusion of ruptured intracranial aneurysms with electrically detachable coils is a therapeutic approach which seems to be a promising technique. General anaesthesia is considered as being the most adapted for its realisation, as its provides complete immobility and as controlled ventilation and extended monitoring offer optimal conditions for undelayed treatment of haemorrhagic and thromboembolic complications. The available equipment should be the same as that used for conventional surgical treatment of ruptured aneurysms. Anticoagulation is required to prevent thromboembolic complications during and after the procedure. Most teams administer heparin.

[Benign angiopathy of the puerperium: a clinicoradiological case associated with ingestion of bromocriptine]. / Angiopathie bénigne du post-partum: un cas clinicoradiologique associé a la prise de bromocriptine.

We report a case of benign cerebral angiopathy in a 37 year-old woman in the postpartum period occurring after bromocriptine therapy to suppress lactation. She presented with severe headache, hyperthermia and bradycardia. She had partial seizure. Angiography excluded cortical vein thrombosis but revealed multiple narrowing of intracerebral arteries. Bromocriptine was stopped. The patient totally recovered. A second angiography performed 3 months later was normal. Postpartum cerebral angiopathy is considered as rare but the prevalence is probably underestimated. Neurological features of this affection are multiple. Diagnosis is made by angiography performed in emergency and which showed narrowing of intracerebral arteries which are reversible. Prognosis is good. Reversible vasoconstriction may be due to acute arterial hypertension, sometimes triggered by ergot derivatives.