Hemorrhagic Stroke Complicating Severe Pre-Eclampsia about a Case and Literature Review


Authors : B. MOHAMED MAHMOUD LEMHABA; S. ACHKIF; M. Mohamed lemine K.Saoud N.Mamouni; S.ERRARHAY; C.BOUCHIKHI; A.BANANI

Volume/Issue : Volume 6 - 2021, Issue 1 - January

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/2NhJs93

Cerebral vascular accident (CVA) is a sudden loss of neurological function due to a vascular neuronal injury and is one of the leading causes of disability in adults. The occurrence of stroke during pregnancy or postpartum (gravidopuerperal stroke [GP-Stroke]), however, is a rare but potentially devastating event because of its impact on the mother, child, and family environment. A review of recent literature has shown that stroke affects 30 women per 100,000 pregnancies, which is about three times more than in the general young adult population. Several pregnancy-related abnormalities can increase the risk of stroke, including : Pregnancy-related blood pressure abnormalities (chronic hypertension, gestational hypertension, preeclampsia, eclampsia) and their complications; HELLP syndrome (hemolysis, hepatic cytolysis and low platelet count); hematologic and prothrombotic physiologic changes in the third trimester and postpartum period; hyperemesis leading to hemoconcentration; and changes in cerebral vasculature (e.g., reversible cerebral vasoconstriction syndrome, arteriovenous malformations, or cervical artery dissection). We report the case of a hemorrhagic stroke in an 18- year-old patient admitted for hemiplegia and aphasia of abrupt onset on an unattended pregnancy term complicated by preeclampsia in whom cerebral CT scan confirmed cerebral hemorrhage

Keywords : Preeclampsia, Eclampsia, Hemorrhagic Stroke.

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