Haemorrhagic stroke complicating severe pre-eclampsia at 22 weeks of amenorrhea: a case report in gabon

Objective: The purpose of our work is to report a rare case of hemorrhagic stroke (CVAD) during pregnancy in the second trimester of pregnancy and a favorable course for the mother and the fetus. Our Observation: We report the case of Mrs. NA, aged 42, with a history of poorly monitored hypertension and scarred uterus who was admitted to the emergency department for aphasia and right hemiplegia at the end of pregnancy. from 22 SA. Clinical and paraclinical assessments revealed haemorrhagic stroke with capsulo-thalamic hematoma and ventricular flood complicating severe super-eclampsia. Obstetrical ultrasound showed a progressive pregnancy of 22 AS without particularity. The patient received multidisciplinary care (Urgentist, resuscitator, neurologist, re-educator, obstetrician gynecologist). The intra-hospital circuit was emergencies, resuscitation and obstetric gynecology. The evolution was marked by an improvement in blood pressure figures. Pregnancy has evolved to 32SA where unstable blood pressure numbers motivate emergency fetal extraction. The mother-child couple is supported by the adult and neonatal intensive care units with good progress. Conclusion: AVCH is a rare complication during pregnancy that deserves to be investigated for any sensitivo - motor deficit. The care remains multidisciplinary.