[Acute hepatic steatosis of pregnancy. Apropos of a case and review of the French literature]. / Stéatose hépatique aiguë gravidique. A propos d'un cas et revue de la littérature française.

Acute fatty liver of pregnancy, or Sheehan's syndrome, is a rare complication of pregnancy, occurring in about 0.5% cases of jaundice in pregnancy. The anatomo-clinical picture and the biology of the condition is described using as basis a personal case history and the 28 cases to be found in the French literature. The condition shows, vomiting, abdominal pain and tachycardia in an apyrexial patient in the 3rd trimester of the pregnancy in which the disease occurs. The date shows itself a few days after the prodromal symptoms and is characterised by the triad of pruritus, jaundice and encephalopathy. All cases show an increased white blood count and hyperbilirubinaemia. If the condition goes on to become very serious one has to look for signs of haemorrhage and of liver and renal failure. Liver biopsy confirms the diagnosis. Prognosis will be improved if moderate forms are recognized early and if the condition is watched carefully. It may be necessary to stop the pregnancy before the serious conditions of the illness show up. Labour induced at the 37th week after checks had been made for fetal pulmonary maturity seemed to be a good way of treating the condition even if it has not yet become desperate. The final prognosis for the mother and the baby is always favourable if the baby is born alive.

[Premature detachment of ova diagnosed by echography. Apropos of 42 cases]. / Les décollements d'oeufs jeunes à l'échographie. A propos de 42 cas.

The authors noted, while carrying out ultrasound examinations, that there was many cases of abruption of oocytes at the beginning of pregnancy. This study was of 42 cases in 3 maternity units of Paris and its suburbs. It shows up how often, in pregnancies complicated bleeding in the first trimester, ultrasound can demonstrate such abruption. Ultrasound pictures can demonstrate the principal characteristics and the outcome of these abruptions, as well as their effect on the continuation of the pregnancy. In this way it establishes a correlation between the anatomy and the pathology and brings to the fore various hypothesis as to the aetiology of these pathological conditions.

[Polyradiculoneuritis and pregnancy. Apropos of 1 case]. / Polyradiculonévrite et grossesse. A propos d'une observation.

The authors report a case of severe Guillain-Barre syndrome that appeared during the eighteenth week of a second gestation which evolved to full term without complication. The particularity of this observation was that the follow-up of the foetus was made possible for the first time by echography which showed normal active foetal movements even during maximum maternal paralysis. From of review of thirty three cases recorded in the literature, it seems clear that the interrelationship between the neurological disorder and pregnancy is nil or minimal beside an increased risk of prematurity childbirth can proceed normally and cesarean section is not indicated. Plasmapheresis proposed as an early treatment is discussed in the case of pregnant women. Today pregnancy is no longer a particular contraindication of such management.