CLINICAL OBSERVATION OF ACUTE CEREBROVASCULAR ACCIDENT BY HEMORRHAGIC TYPE DURING PREGNANCY

Lyashenko Elena Nikolaevna, Chotchaev Robert Muratovich, Dobychina Maria Valerievna

Accident vasculaire cerebral (AVC) occupies one of the leading places among the mortality and disability of the population. Among females it’s the fourth leading cause of death and the eighth leading cause of pregnancy-related death. Considering the period of pregnancy and childbirth the risk of cerebrovascular pathologies increases, they are based on physiological changes in the woman's body. The level of estrogen rises, during pregnancy, which in turn increases the production of blood clotting factors and entails the risk of blood clots which can lead to stroke of the ischemic type. During pregnancy, the volume of blood circulation (BV) increases which significantly increases the risk of arterial hypertension (AH). At the same time, in the third trimester of pregnancy, an increased level of progesterone leads to an increase in the permeability of the walls of small vessels. The lack of medical supervision over the ongoing pregnancy, as well as the two aforementioned physiological changes, can increase the risk of stroke by hemorrhagic type. The given clinical observation demonstrates the experience of treating a pregnant patient with stroke of the hemorrhagic type using the available knowledge about the etiopathogenesis of the disease. A review of modern scientific publications and literature data was carried out; on their basis the various roles of risk factors, pathogenetic factors and the mechanism of development of this pathology were analyzed.

Keywords:pregnancy, hemorrhagic stroke, hematoma, arterial hypertension, angiopathy.