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Abstract
RÉSUMÉ
Les accidents vasculaires cérébraux sont des accidents rares mais graves durant la grossesse et le post-partum, ils sont responsables d'une mortalité et d'une morbidité élevées, la pré éclampsie, l'éclampsie et les accidents vasculaires cérébraux sont significativement liés. Nous rapportons le cas d'un accident vasculaire cérébral hémorragique méningé grade IV de FISHER chez une patiente de 37 ans admise pour altération de l’état général sur grossesse de 30 SA + 4 jours dans un contexte d’hypertension chronique soldé par le décès maternel à j1 post opératoire d’une césarienne pour sauvetage fœtal.
ABSTRACT
Stroke is a rare but serious event in pregnancy and the postpartum period. It is significantly related to pre-eclampsia, eclampsia and is responsible for high mortality and morbidity. We report the case of a hemorrhagic meningeal stroke FISHER grade IV in a 37 year old patient admitted for deterioration of general condition during pregnancy of 30 weeks of amenorrohea + 4 days in a context of chronic hypertension resulting in maternal death at day 1 post operative caesarean delivery for fetal rescue.
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References
- Swartz RH, Cayley ML, Foley N, Ladhani NNN, Leffert L, Bushnell C, et al. The incidence of pregnancy-related stroke: A systematic review and meta-analysis. Int J Stroke Off J Int Stroke Soc. oct 2017;12(7):687‑97.
- Ban L, Sprigg N, Abdul Sultan A, Nelson-Piercy C, Bath PM, Ludvigsson JF, et al. Incidence of First Stroke in Pregnant and Nonpregnant Women of Childbearing Age: A Population-Based Cohort Study From England. J Am Heart Assoc. 21 avr 2017;6(4):e004601.
- Leffert LR, Clancy CR, Bateman BT, Bryant AS, Kuklina EV. Hypertensive disorders and pregnancy-related stroke: frequency, trends, risk factors, and outcomes. Obstet Gynecol. janv 2015;125(1):124‑31.
- Swartz RH., Ladhani NNN. Enoncé de consensus des recommandations canadiennes pour les pratiques optimales de soins de l’AVC en phase aiguë pendant la grossesse. [Internet]. 2017 nov. Disponible sur: https://heartstrokeprod.azureedge.net/-/media/1-stroke-best-practices/stroke-in-pregnancy/french/csbpr_sip-prevention-module-final-french-24nov17-1.ashx?la=fr-ca&rev=e952f899beff451189966376288d4bcd
- Moodley J. Maternal deaths associated with hypertensive disorders of pregnancy: a population-based study. Hypertens Pregnancy. 2004;23(3):247‑56.
- Kuklina EV, Tong X, Bansil P, George MG, Callaghan WM. Trends in pregnancy hospitalizations that included a stroke in the United States from 1994 to 2007: reasons for concern? Stroke. sept 2011;42(9):2564‑70.
- James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet Gynecol. sept 2005;106(3):509‑16.
- Kittner SJ, Stern BJ, Feeser BR, Hebel R, Nagey DA, Buchholz DW, et al. Pregnancy and the risk of stroke. N Engl J Med. 12 sept 1996;335(11):768‑74.
- Lanska DJ, Kryscio RJ. Risk factors for peripartum and postpartum stroke and intracranial venous thrombosis. Stroke. juin 2000;31(6):1274‑82.
- Duley L, Henderson-Smart DJ, Chou D. Magnesium sulphate versus phenytoin for eclampsia. Cochrane Database Syst Rev. 6 oct 2010;(10):CD000128.
- Deshaies EM, Boulos AS, Drazin D, Popp AJ. Evidence-based pharmacotherapy for cerebral vasospasm. Neurol Res. juill 2009;31(6):615‑20.
- Thomas SV. Neurological aspects of eclampsia. J Neurol Sci. 18 févr 1998;155(1):37‑43.
- Pourrat O. Pre-éclamesie et éclampsie: progrès therapeutiques. Flammarion Med-Sci - Actual Nephrol. 2004;177‑89.
- Boufettal H, Moussaïd I, Noun M, Hermas S, Salmi S, Miguil M, et al. [Gestational recurrent of ischemic stroke event]. Ann Fr Anesth Reanim. déc 2012;31(12):977‑8.
References
Swartz RH, Cayley ML, Foley N, Ladhani NNN, Leffert L, Bushnell C, et al. The incidence of pregnancy-related stroke: A systematic review and meta-analysis. Int J Stroke Off J Int Stroke Soc. oct 2017;12(7):687‑97.
Ban L, Sprigg N, Abdul Sultan A, Nelson-Piercy C, Bath PM, Ludvigsson JF, et al. Incidence of First Stroke in Pregnant and Nonpregnant Women of Childbearing Age: A Population-Based Cohort Study From England. J Am Heart Assoc. 21 avr 2017;6(4):e004601.
Leffert LR, Clancy CR, Bateman BT, Bryant AS, Kuklina EV. Hypertensive disorders and pregnancy-related stroke: frequency, trends, risk factors, and outcomes. Obstet Gynecol. janv 2015;125(1):124‑31.
Swartz RH., Ladhani NNN. Enoncé de consensus des recommandations canadiennes pour les pratiques optimales de soins de l’AVC en phase aiguë pendant la grossesse. [Internet]. 2017 nov. Disponible sur: https://heartstrokeprod.azureedge.net/-/media/1-stroke-best-practices/stroke-in-pregnancy/french/csbpr_sip-prevention-module-final-french-24nov17-1.ashx?la=fr-ca&rev=e952f899beff451189966376288d4bcd
Moodley J. Maternal deaths associated with hypertensive disorders of pregnancy: a population-based study. Hypertens Pregnancy. 2004;23(3):247‑56.
Kuklina EV, Tong X, Bansil P, George MG, Callaghan WM. Trends in pregnancy hospitalizations that included a stroke in the United States from 1994 to 2007: reasons for concern? Stroke. sept 2011;42(9):2564‑70.
James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet Gynecol. sept 2005;106(3):509‑16.
Kittner SJ, Stern BJ, Feeser BR, Hebel R, Nagey DA, Buchholz DW, et al. Pregnancy and the risk of stroke. N Engl J Med. 12 sept 1996;335(11):768‑74.
Lanska DJ, Kryscio RJ. Risk factors for peripartum and postpartum stroke and intracranial venous thrombosis. Stroke. juin 2000;31(6):1274‑82.
Duley L, Henderson-Smart DJ, Chou D. Magnesium sulphate versus phenytoin for eclampsia. Cochrane Database Syst Rev. 6 oct 2010;(10):CD000128.
Deshaies EM, Boulos AS, Drazin D, Popp AJ. Evidence-based pharmacotherapy for cerebral vasospasm. Neurol Res. juill 2009;31(6):615‑20.
Thomas SV. Neurological aspects of eclampsia. J Neurol Sci. 18 févr 1998;155(1):37‑43.
Pourrat O. Pre-éclamesie et éclampsie: progrès therapeutiques. Flammarion Med-Sci - Actual Nephrol. 2004;177‑89.
Boufettal H, Moussaïd I, Noun M, Hermas S, Salmi S, Miguil M, et al. [Gestational recurrent of ischemic stroke event]. Ann Fr Anesth Reanim. déc 2012;31(12):977‑8.