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[产后子痫继发脑干出血性卒中:1例病例及文献复习]

[Haemorrhagic stroke of the brainstem secondary to postpartum eclampsia: about a case and literature review].

作者信息

Ennaqui Khadija, Makayssi Assia, Boufettal Houssine, Samouh Naima

机构信息

Centre Hospitalier Universitaire Ibn Rochd, Faculty of Medecine and Pharmacy, Hassan II University of Casablanca, Morocco.

出版信息

Pan Afr Med J. 2017 Aug 9;27:266. doi: 10.11604/pamj.2017.27.266.12288. eCollection 2017.

Abstract

Strokes are rare but severe accidents during pregnancy and post-partum period. They are responsible for high mortality and morbidity rates. Pre-eclampsia, eclampsia, and strokes are significantly related. Endothelial dysfunction, alteration of brain self-regulation and severe hypertension are, probably, the cause of many strokes in pregnant women and during postpartum period. We report a case of hemorrhagic stroke of the brainstem in a nonmonitored 21-year old patient at 38 weeks pregnant admitted with severe preeclampsia complicated by eclampsia and then by haemorrhagic stroke of the brainstem on the second post-operative day after cesarean section performed due to suspicion of retroplacental haematoma arisen since her admission. Intracerebral hemorrhage is a rare but severe complication in post-partum women. Several studies are underway to fill the gaps of knowledge involved in the management of pre-eclamptic patients with neurological complications.

摘要

中风在孕期和产后是罕见但严重的意外事件。它们导致高死亡率和高发病率。先兆子痫、子痫与中风显著相关。内皮功能障碍、脑自我调节改变和严重高血压可能是许多孕妇及产后女性中风的病因。我们报告一例21岁未受监测的孕妇病例,该孕妇孕38周,因重度先兆子痫合并子痫入院,因入院后怀疑胎盘后血肿而行剖宫产,术后第二天发生脑干出血性中风。脑出血在产后女性中是一种罕见但严重的并发症。目前正在进行多项研究,以填补先兆子痫合并神经并发症患者管理方面的知识空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/422e/5660323/25937a2efc62/PAMJ-27-266-g001.jpg

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