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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Carotid angiodysplasia complicated by the use of anti-hypertensive drugs during pregnancy: a case report | de Paula et al. Journal of Medical Case Reports 2011 5 415 http www.jmedicalcasereports.eom content 5 1 415 JOURNALOF medical case reports CASE REPORT Open Access Carotid angiodysplasia complicated by the use of anti-hypertensive drugs during pregnancy a case report Viviane Ribeiro de Paula1 Laura Penna Rocha1 Giovanni Carlos Tiveron Jr1 Camila Souza de Oliveira Guimaraes1 Marlene Antônia dos Reis1 Beatriz Barco Tavares2 and Rosana Rosa Miranda Corrêa1 Abstract Introduction Hypertensive syndromes in pregnancy are one of the leading causes of obstetric admissions into intensive care units. They are related to changes in the central nervous system caused by a decrease in cerebral perfusion pressure indicated by an increase in intracranial pressure. These changes in pressure usually result from acute injuries or a decrease in the mean arterial pressure due to iatrogenic action or shock. However other vascular disorders may contribute to similar occurrences. Case presentation A 15-year-old girl was admitted to our hospital complaining of severe headaches since the eighth month of pregnancy and presented with an arterial blood pressure of 180 120 mmHg. The diagnostic hypothesis was pre-eclampsia. Our patient s blood pressure levels remained elevated and she was submitted to a cesarean section. After the procedure she was referred to our infirmary presenting with a blank distant look and with no interaction with the environment dyslalia and labial and upper and lower right limb paresis. She was confused and unable to speak but responded to painful stimuli as she conveyed abdominal pain at superficial and deep palpation. The hypothesis of post-partum psychosis was suggested. She was then transferred to our intensive care unit maintaining an impassive attitude in bed but reacting to external stimuli. Results of a computed tomography scan revealed ischemic infarction of the territory of her left middle cerebral artery. A selective cerebral arteriography showed bilateral .
