[Efficacy of medical treatment (isoproterenol + aminophylline) of aneurysm rupture spasm].

Efficiency against spasm of a combined therapy by Isoproterenol Aminophylline is discussed from 97 operated cases (118 aneurysms) and 30 non operated cases (32 aneurysms). This treatment seems efficient and best results are achieved when therapy is started as soon as possible or systematically after surgery. Analysis of spasm and of its treatment is based on criterions which vary from one author to another, and comparison between different series is difficult. In the series here reported, one group with treatment is compared to another one without treatment. This method seems the most reliable. This treatment cannot be considered as the lone efficient therapy against spasm and is usually used beside other techniques such as ICP and Arterial pressure management or early surgery.