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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.54 no.2 São Paulo June 1996

http://dx.doi.org/10.1590/S0004-282X1996000200006 

Gravidez, puerpério e doença vascular cerebral

 

Pregnancy, puerperium and cerebrovascular disease

 

 

Márcia Maiumi FukujimaI; Roberto de Magalhães Carneiro de OliveiraI; Jean Carlos ShimazakiII; José Geraldo de Camargo LimaIII

IMestre em Neurologia pela EPM-UNIFESP
IINeurologista pela EPM-UNIFESP
IIIProfessor Titular e Chefe da Disciplina de Neurologia da EPM-UNIFESP

 

 


RESUMO

Foram estudadas seis pacientes com doenças cerebrovasculares no período gravídico-puerperal. Uma apresentou hemorragia cerebral, três apresentaram infarto cerebral e duas trombose de seio venoso cerebral. A associação de fatores clínicos ao estado peculiar produzido pela gravidez parece ter resultado nas doenças apresentadas, com especial ênfase à doença de Chagas presente em todos os infartos cerebrais.

Palavras chave: gravidez, puerpério, acidente vascular cerebral, infarto cerebral, hemorragia cerebral, trombose venosa cerebral, doença de Chagas.


ABSTRACT

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.

Key words: pregnancy, puerperium, stroke, cerebral infarction, cerebral hemorrhage, cerebral venous thrombosis, Chagas1 disease.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Aceite: 12-dezembro-1995.

 

 

Estudo realizado na Escola Paulista de Medicina (EPM) da Universidade Federal de São Paulo (UNIFESP)
Dra. Mareia Maiumi Fukujima - Disciplina de Neurologia Universidade Federal de São Paulo - Rua Botucatu 740 - 04023-900 São Paulo SP - Brasil - Fax 011 5755240. E-Mail: maiumi@sti.com.br

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