{"id":25315,"date":"2021-05-19T09:59:39","date_gmt":"2021-05-19T07:59:39","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=25315"},"modified":"2021-05-19T09:59:41","modified_gmt":"2021-05-19T07:59:41","slug":"avc-une-course-contre-la-montre","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/avc-une-course-contre-la-montre\/","title":{"rendered":"AVC : une course contre la montre"},"content":{"rendered":"\n<p>La prise en charge des AVC est une v\u00e9ritable course contre la montre o\u00f9 chaque minute compte. C\u2019est pourquoi au sein de l\u2019h\u00f4pital, tout a \u00e9t\u00e9 organis\u00e9 pour qu\u2019elle soit la plus rapide. Lorsque quelqu\u2019un appelle le centre 15 pour une suspicion d\u2019AVC, le service de neurologie est inform\u00e9 de fa\u00e7on \u00e0 ce que les neurologues soient pr\u00eats \u00e0 prendre en charge le patient \u00e0 son arriv\u00e9e aux urgences. \u00ab Nous l\u2019examinons. Nous lui faisons un bilan rapide et une radiologie, scanner ou IRM. Ensuite, nous le traitons selon la cause. Cette prise en charge rapide est parfaitement huil\u00e9e gr\u00e2ce \u00e0 la bonne collaboration avec les urgences et la radiologie \u00bb pr\u00e9cise le Pr Jean-Philippe Neau, chef du service de neurologie.<\/p>\n<p>Le <a href=\"http:\/\/www.chu-poitiers.fr\/specialites\/neurologie\/\">service de neurologie du CHU de Poitiers<\/a> prend en charge tous les patients touch\u00e9s par un AVC en Poitou-Charentes. Il connait une importante activit\u00e9 avec environ 1 200 nouveaux cas par an, lorsque le total en France est \u00e0 peu pr\u00e8s de 140 000 nouveaux cas. La Vienne \u00e9tant peu touch\u00e9e par la premi\u00e8re vague, il a pu continuer son activit\u00e9 sans organisation particuli\u00e8re. Les patients positifs \u00e0 la covid \u00e9taient transf\u00e9r\u00e9s dans le service de r\u00e9animation d\u00e9di\u00e9. Pour cette seconde vague, les consignes sont autres : le patient covid reste dans le service qui est le plus appropri\u00e9 ; en l\u2019occurrence pour un AVC, le service de neurologie. \u00ab Si la deuxi\u00e8me vague \u00e9tait moins angoissante, nous avons \u00e9t\u00e9 beaucoup plus impact\u00e9s avec un cluster qui nous a contraint \u00e0 fermer une partie du service et \u00e0 transf\u00e9rer des patients dans d\u2019autres services. Mais actuellement, nous n\u2019avons plus de patients positifs covid \u00bb souligne le Pr Neau.<\/p>\n<p>Si elle a entrain\u00e9 une baisse de l\u2019activit\u00e9, la crise sanitaire n\u2019emp\u00eache aucunement la rapidit\u00e9 de la prise en charge. Et le message du professeur Neau est clair\u00a0: <strong>\u00ab\u00a0si vous \u00eates face \u00e0 une personne qui pr\u00e9sente l\u2019un des signes d\u2019AVC, vous devez appeler le centre 15\u00a0\u00bb<\/strong><\/p>\n<p><em><a href=\"http:\/\/www.chu-poitiers.fr\/specialites\/neurologie\/\">En savoir plus sur le service de neurologie du CHU de Poitiers<\/a><br \/><\/em><\/p>\n<figure class=\"wp-block-table\">\n<table class=\"has-subtle-light-gray-background-color has-background\">\n<tbody>\n<tr>\n<td><strong>Qu\u2019est-ce qu\u2019un AVC\u00a0?<\/strong><br \/><br \/>Le cerveau compte plus de 100\u00a0000 milliards de cellules nerveuses, les neurones, qui sont aliment\u00e9s par des vaisseaux sanguins. L\u2019AVC survient lorsque la circulation dans le sang connait une d\u00e9faillance. Soit un caillot de sang se forme et bouche un vaisseau provoquant un infarctus c\u00e9r\u00e9bral, ce qui correspond \u00e0 80% des cas. Soit un vaisseau se rompt entrainant une h\u00e9morragie c\u00e9r\u00e9brale, soit 20% des cas. L\u2019\u00e2ge moyen des victimes est de 75 ans mais on peut en \u00eatre touch\u00e9 \u00e0 tout \u00e2ge.<br \/>Les AVC peuvent \u00eatre plus ou moins graves. Mais m\u00eame lorsqu\u2019il est minime, l\u2019AVC doit \u00eatre trait\u00e9 parce qu\u2019il peut \u00eatre signe annonciateur d\u2019une forme plus grave.<br \/>Quatre signes peuvent laisser penser qu\u2019il s\u2019agit d\u2019un AVC\u00a0:<br \/>\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Des maux de t\u00eate intenses et subits<br \/>\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Une paralysie d\u2019un c\u00f4t\u00e9 du corps<br \/>\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Des difficult\u00e9s \u00e0 parler<br \/>\u2013\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Une vision troubl\u00e9e<br \/>\u00a0<br \/>La prise en charge des AVC est une v\u00e9ritable course contre la montre car plus elle est rapide et moins il y aura de s\u00e9quelles.\u00a0 En effet, dans la moiti\u00e9 des cas, les victimes gardent des s\u00e9quelles, voire m\u00eame un handicap. Aussi, si vous voyez une personne pr\u00e9sentant l\u2019un de ces quatre signes, n\u2019h\u00e9sitez pas\u00a0! Appelez le centre-15\u00a0!<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>En cette journ\u00e9e europ\u00e9enne de la pr\u00e9vention des AVC, il est essentiel de rappeler que chaque ann\u00e9e, pr\u00e8s de 30 000 personnes d\u00e9c\u00e8dent \u00e0 la\u2026","protected":false},"author":12,"featured_media":25318,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-25315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>AVC : une course contre la montre - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/avc-une-course-contre-la-montre\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AVC : une course contre la montre - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"En cette journ\u00e9e europ\u00e9enne de la pr\u00e9vention des AVC, il est essentiel de rappeler que chaque ann\u00e9e, pr\u00e8s de 30 000 personnes d\u00e9c\u00e8dent \u00e0 la suite d\u2019un accident vasculaire c\u00e9r\u00e9bral (AVC). 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