Mrs ASS….AKOU, 36 married and right handed household was at her second episode of stroke in six months. Concerning her history; six months ago, during her first episode of stroke she was discovered and known to have a high blood pressure in the left anterior cerebral artery, responsible of an after effects right crural hemiparesis at 4/5. She was not using hormonal contraception and there was not a sign of alcoholic or tobacco intoxication. Since six months she has been under second prevention with acetylsalicylic under 100 mg per day and sartan 150 mg per day. The current episode was marked by a brutal installation of a left hemi body deficit predominant to inferior member in the morning of 26th December 2014 at her home. When she was admitted the exam allowed to note a blood pressure of 160/80 Hg in the left hand and 160/90 mmHg in the right, a beat of 78 pulsations per minute, a temperature at 37°4C talking of a neurology she was conscious without trouble of superior functions.