Cerebral vascular accident (CVA) is a sudden loss of neurological function due to a vascular neuronal injury and is one of the leading causes of disability in adults. The occurrence of stroke during pregnancy or postpartum (gravidopuerperal stroke [GP-Stroke]), however, is a rare but potentially devastating event because of its impact on the mother, child, and family environment. A review of recent literature has shown that stroke affects 30 women per 100,000 pregnancies, which is about three times more than in the general young adult population. Several pregnancy-related abnormalities can increase the risk of stroke, including : Pregnancy-related blood pressure abnormalities (chronic hypertension, gestational hypertension, preeclampsia, eclampsia) and their complications; HELLP syndrome (hemolysis, hepatic cytolysis and low platelet count); hematologic and prothrombotic physiologic changes in the third trimester and postpartum period; hyperemesis leading to hemoconcentration; and changes in cerebral vasculature (e.g., reversible cerebral vasoconstriction syndrome, arteriovenous malformations, or cervical artery dissection). We report the case of a hemorrhagic stroke in an 18- year-old patient admitted for hemiplegia and aphasia of abrupt onset on an unattended pregnancy term complicated by preeclampsia in whom cerebral CT scan confirmed cerebral hemorrhage

Keywords : Preeclampsia, Eclampsia, Hemorrhagic Stroke.