title: Spontaneous hemorrhagic strokes during pregnancy: case report and review of the literature.
abstract: 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.
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: Meriem
authors.initials: M
authors.lastname: Laadioui
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: Wail
authors.initials: W
authors.lastname: Bouzoubaa
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: Sofia
authors.initials: S
authors.lastname: Jayi
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: Fatima Zohra
authors.initials: FZ
authors.lastname: Fdili
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: Hakima
authors.initials: H
authors.lastname: Bouguern
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: Hikmat
authors.initials: H
authors.lastname: Chaara
authors.affiliation: Sidi Mohammed Ben Abdellah University, Department of Gynecology and Obstetrics, University Hospital of Fez, Morocco.
authors.forename: My Abdelilah
authors.initials: MA
authors.lastname: Melhouf
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000628:therapy; D020521:Stroke / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
keywords: Brain scan; Hemorrhagic stroke; Post partum; Pregnancy