Gravidez, puerpério e doença vascular cerebral Pregnancy, puerperium and cerebrovascular disease

Abstract

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.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.

Keywords

• gravidez
• puerpério
• acidente vascular cerebral
• infarto cerebral
• hemorragia cerebral
• trombose venosa cerebral
• doença de Chagas
• pregnancy
• puerperium
• stroke
• cerebral infarction
• cerebral hemorrhage
• cerebral venous thrombosis
• Chagas¹ disease