[Aneurysm rupture and cocaine addiction]

We describe a new case in which cocaine use was related to stroke and review the literature. Cocaine is increasingly used by drug addicts. The neurological complications are unpredictable. They include generalized or partial epileptic seizures, ischaemic or haemorrhagic cerebral vascular accident. In this case, stroke after intravenous drug injection is associated with rupture of an intra-cranial aneurysm. We put the accent on the difficulties to diagnose the cerebral stroke in cocaine abusers.