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Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature

Hemorrhagic stroke is responsible for significant morbidity and mortality. Postpartum and pregnancy are risk period. Only urgent care in intensive care units may improve prognosis. We report the case of 22 years old's Morrocan, who presented to our department with an intense headache headset fo...

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Autores principales: Laadioui, Meriem, Bouzoubaa, Wail, Jayi, Sofia, Fdili, Fatima Zohra, Bouguern, Hakima, Chaara, Hikmat, Melhouf, My Abdelilah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427470/
https://www.ncbi.nlm.nih.gov/pubmed/25977735
http://dx.doi.org/10.11604/pamj.2014.19.372.5422
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author Laadioui, Meriem
Bouzoubaa, Wail
Jayi, Sofia
Fdili, Fatima Zohra
Bouguern, Hakima
Chaara, Hikmat
Melhouf, My Abdelilah
author_facet Laadioui, Meriem
Bouzoubaa, Wail
Jayi, Sofia
Fdili, Fatima Zohra
Bouguern, Hakima
Chaara, Hikmat
Melhouf, My Abdelilah
author_sort Laadioui, Meriem
collection PubMed
description Hemorrhagic stroke is responsible for significant morbidity and mortality. Postpartum and pregnancy are risk period. Only urgent care in intensive care units may improve prognosis. We report the case of 22 years old's Morrocan, who presented to our department with an intense headache headset followed a few hours later by consciousness disorder. Clinical examination at admission has objectified a woman obsessed with a GCS 13, normotensive, the labstix is negative. A brain scan was performed showing left temporal intra parenchymal hematoma with ventricular flooding and subfalcine herniation. An external ventricular shunt was made. The patient was extubated on day 2 of hospitalization, with progressive neurological improvement. Concerning obstetrical care, the pregnancy has evolved harmoniously without any growth retardation or other abnormalities, with full-term vaginal delivery of a healthy 3kg200 baby. although Hemorrhagic stroke during pregnancy is rare, the prognosis is reserved. An adequate care in intensive care unit is required.
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spelling pubmed-44274702015-05-14 Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature Laadioui, Meriem Bouzoubaa, Wail Jayi, Sofia Fdili, Fatima Zohra Bouguern, Hakima Chaara, Hikmat Melhouf, My Abdelilah Pan Afr Med J Case Report Hemorrhagic stroke is responsible for significant morbidity and mortality. Postpartum and pregnancy are risk period. Only urgent care in intensive care units may improve prognosis. We report the case of 22 years old's Morrocan, who presented to our department with an intense headache headset followed a few hours later by consciousness disorder. Clinical examination at admission has objectified a woman obsessed with a GCS 13, normotensive, the labstix is negative. A brain scan was performed showing left temporal intra parenchymal hematoma with ventricular flooding and subfalcine herniation. An external ventricular shunt was made. The patient was extubated on day 2 of hospitalization, with progressive neurological improvement. Concerning obstetrical care, the pregnancy has evolved harmoniously without any growth retardation or other abnormalities, with full-term vaginal delivery of a healthy 3kg200 baby. although Hemorrhagic stroke during pregnancy is rare, the prognosis is reserved. An adequate care in intensive care unit is required. The African Field Epidemiology Network 2014-12-11 /pmc/articles/PMC4427470/ /pubmed/25977735 http://dx.doi.org/10.11604/pamj.2014.19.372.5422 Text en © Meriem Laadioui et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Laadioui, Meriem
Bouzoubaa, Wail
Jayi, Sofia
Fdili, Fatima Zohra
Bouguern, Hakima
Chaara, Hikmat
Melhouf, My Abdelilah
Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
title Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
title_full Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
title_fullStr Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
title_full_unstemmed Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
title_short Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
title_sort spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427470/
https://www.ncbi.nlm.nih.gov/pubmed/25977735
http://dx.doi.org/10.11604/pamj.2014.19.372.5422
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