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| Hemorrhagic stroke complicating severe pre-eclampsia: A report of two cases
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I. Baouch, M. Dridi, F. El Hilali, H. Moustaide, S. Benkirane
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Abstract:
Pregnancy is classically considered a risk factor for both ischemic and hemorrhagic strokes. The state of maximal hypercoagulability, increased cardiac output, total blood volume, and structural changes in arterial media are regarded as physiological modifications during pregnancy that may elevate the risk of vascular events. Hemorrhagic stroke can occur either spontaneously or as a result of the rupture of vascular lesions such as aneurysms and arteriovenous malformations. This complication only occurs in a small proportion of women with pre-eclampsia but is associated with high morbidity and mortality. The relationship between pre-eclampsia and the occurrence of non-traumatic hemorrhagic stroke involves risk factors, including endothelial damage secondary to pre-eclampsia, uncontrolled hypertension, and biological disorders such as thrombocytopenia in the context of HELLP Syndrome and coagulation disorders. It is important to consider the risk of stroke in women diagnosed with pre-eclampsia or eclampsia. Specifically, women experiencing neurological symptoms should undergo prompt evaluation, blood pressure management, and initiation of thromboprophylaxis. This case report's aim is to shed the light on the significance of conducting thorough neurological examinations for pregnant women who exhibit neurological symptoms. It also emphasizes the role of multidisciplinary management in severe, life-threatening conditions.
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