[Cerebral venous thrombosis and arterial infarction in pregnancy and puerperium. A series of 60 cases].

We report a retrospective study of 60 patients aged from 18 to 46 years, pregnant or parturient, with ischemic cerebrovascular accident. The hospital incidence was 3.6 cases per year. The prevalence was 0.70 per 1,000 childbirth in Tunis area. 3/4 of these cerebrovascular accidents occurred in the post partum period and 1/4 in the pregnancy. Gravidic toxemia and sepsis were the most frequent risk factors. The cerebral venous thrombosis (CVT) (55%) were almost as frequent as cerebral ischemic accidents (CIA) 45). We individualized 3 groups of CVT: septic, aseptic, mixed. Among CIA etiologies we noted two cases of cerebral angiopathy of toxemia and one case of peripartum angiography. The mortality rate nul for CIA, was 36% for CVT. The functional sequelae were more severe for CIA.