Fukujima M M, Oliveira R M, Shimazaki J C, Lima J G
Escola Paulista de Medicina, Universidade Federal de São Paulo.
Arq Neuropsiquiatr. 1996 Jun;54(2):212-5. doi: 10.1590/s0004-282x1996000200006.
Six patients who presented cerebrovascular disease during puerperium or pregnancy were studied. One of them presented hemorrhagic stroke caused by intracerebral bleeding due to pre-eclampsia. Three patients presented ischemic stroke, they all had positive serologic reactions for Chagas' disease, but only two of them had clinical cardiopathy; one of these patients had anticardiolipin antibody. The other two patients presented cerebral venous thrombosis of sagittal sinus. Both were smokers and one of them used oral contraceptive. We emphasize the importance of clinical investigation to seek for the common causes of cerebrovascular disease in young people, with special attention to Chagas disease in Brazil.
对6例在产褥期或妊娠期出现脑血管疾病的患者进行了研究。其中1例因先兆子痫导致脑出血，进而引发出血性中风。3例出现缺血性中风，他们查加斯病的血清学反应均呈阳性，但只有2例有临床心脏病；其中1例患者有抗心磷脂抗体。另外2例患者出现上矢状窦脑静脉血栓形成。两人均为吸烟者，其中1人使用口服避孕药。我们强调临床调查对于寻找年轻人脑血管疾病常见病因的重要性，在巴西尤其要特别关注查加斯病。
