{"id":15127,"date":"2026-06-30T16:49:26","date_gmt":"2026-06-30T20:49:26","guid":{"rendered":"https:\/\/www.neuro-concept.ca\/?p=15127"},"modified":"2026-06-30T18:03:55","modified_gmt":"2026-06-30T22:03:55","slug":"avc-silencieux-risque-traitement","status":"publish","type":"post","link":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/","title":{"rendered":"AVC silencieux : donn\u00e9es actuelles et implications pour la pratique clinique"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"15127\" class=\"elementor elementor-15127\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a90c542 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a90c542\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2dbc429\" data-id=\"2dbc429\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60e35c2 elementor-widget elementor-widget-heading\" data-id=\"60e35c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">AVC silencieux : le signal d\u2019alarme c\u00e9r\u00e9brovasculaire \u00e0 ne pas ignorer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f861af elementor-widget elementor-widget-text-editor\" data-id=\"9f861af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div>L\u2019infarctus c\u00e9r\u00e9bral silencieux (ICS), \u00e9galement d\u00e9sign\u00e9 sous le terme d\u2019AVC silencieux, est une entit\u00e9 de plus en plus reconnue en neurologie vasculaire. D\u00e9fini par la pr\u00e9sence de l\u00e9sions c\u00e9r\u00e9brales d\u2019origine vasculaire \u00e0 l\u2019imagerie, en l\u2019absence de manifestation neurologique aigu\u00eb, il constitue un marqueur important de vuln\u00e9rabilit\u00e9 c\u00e9r\u00e9brovasculaire et un enjeu majeur de pr\u00e9vention<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c313f7 elementor-widget__width-initial elementor-widget elementor-widget-video\" data-id=\"6c313f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/shorts\\\/_z9JfuqQ2tg&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ac4732e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ac4732e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-af8a413\" data-id=\"af8a413\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0e4684c elementor-widget elementor-widget-heading\" data-id=\"0e4684c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00e9finition et cadre nosologique<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4530167 elementor-widget elementor-widget-text-editor\" data-id=\"4530167\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019AVC silencieux correspond \u00e0 un infarctus c\u00e9r\u00e9bral identifi\u00e9, le plus souvent \u00e0 l\u2019IRM, sans ant\u00e9c\u00e9dent clinique compatible avec un \u00e9v\u00e9nement c\u00e9r\u00e9bral aigu. Il s\u2019inscrit dans le spectre de la maladie c\u00e9r\u00e9brovasculaire silencieuse, qui comprend \u00e9galement les hyperintensit\u00e9s de la substance blanche et les microh\u00e9morragies c\u00e9r\u00e9brales. Dans la majorit\u00e9 des cas, les l\u00e9sions sont des infarctus lacunaires li\u00e9s \u00e0 une atteinte des petits vaisseaux.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-47eb69b elementor-widget elementor-widget-heading\" data-id=\"47eb69b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">\u00c9pid\u00e9miologie<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-976e700 elementor-widget elementor-widget-text-editor\" data-id=\"976e700\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div>Les ICS sont fr\u00e9quents dans la population g\u00e9n\u00e9rale, avec une pr\u00e9valence estim\u00e9e entre 8 % et 28 %, augmentant significativement avec l\u2019\u00e2ge<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-27ff6ec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"27ff6ec\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2e98301\" data-id=\"2e98301\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d69083d elementor-widget elementor-widget-heading\" data-id=\"d69083d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Physiopathologie<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8fd4ce elementor-widget elementor-widget-text-editor\" data-id=\"a8fd4ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les m\u00e9canismes impliqu\u00e9s sont domin\u00e9s par la microangiopathie c\u00e9r\u00e9brale, notamment :<\/p><div><ul><li>lipohyalinose associ\u00e9e \u00e0 l\u2019hypertension,<\/li><li>ath\u00e9roscl\u00e9rose intracr\u00e2nienne,<\/li><li>embolies silencieuses (notamment en fibrillation auriculaire),<\/li><li>dysfonction endoth\u00e9liale.<\/li><\/ul><p>Les infarctus lacunaires (&lt; 15 mm) r\u00e9sultent de l\u2019occlusion d\u2019art\u00e9rioles perforantes profondes.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-635243d\" data-id=\"635243d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fe81076 elementor-widget elementor-widget-image\" data-id=\"fe81076\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"765\" src=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/physiopathologie-AVC-silencieux-1024x765.png\" class=\"attachment-large size-large wp-image-15128\" alt=\"physiopathologie AVC silencieux\" srcset=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/physiopathologie-AVC-silencieux-1024x765.png 1024w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/physiopathologie-AVC-silencieux-300x224.png 300w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/physiopathologie-AVC-silencieux-1536x1147.png 1536w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/physiopathologie-AVC-silencieux-2048x1529.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-498daa4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"498daa4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fcbb4a4\" data-id=\"fcbb4a4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9402256 elementor-widget elementor-widget-heading\" data-id=\"9402256\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Signification clinique et pronostique<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-311660d elementor-widget elementor-widget-text-editor\" data-id=\"311660d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Malgr\u00e9 leur caract\u00e8re asymptomatique initial, les ICS ont des implications importantes.<\/p><div><h4>Risque d\u2019AVC<\/h4><p>La pr\u00e9sence d\u2019un ICS augmente de mani\u00e8re significative le risque d\u2019AVC symptomatique, avec un facteur multiplicatif de 2 \u00e0 4.<\/p><h4>D\u00e9clin cognitif<\/h4><p>Ils sont associ\u00e9s \u00e0 une diminution des performances cognitives et \u00e0 un risque accru de d\u00e9mence, multipli\u00e9 par plus de deux.<\/p><h4>Impact fonctionnel<\/h4><p>Des troubles subtils de la marche et de l\u2019\u00e9quilibre peuvent \u00e9galement \u00eatre observ\u00e9s.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6880269 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6880269\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aaf0590\" data-id=\"aaf0590\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d7f0fe elementor-widget elementor-widget-heading\" data-id=\"5d7f0fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagnostic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-48be2c1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"48be2c1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bbe0635\" data-id=\"bbe0635\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a2b471 elementor-widget elementor-widget-image\" data-id=\"0a2b471\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"765\" src=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/IRM-AVC-silencieux-1024x765.png\" class=\"attachment-large size-large wp-image-15130\" alt=\"IRM-AVC silencieux\" srcset=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/IRM-AVC-silencieux-1024x765.png 1024w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/IRM-AVC-silencieux-300x224.png 300w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/IRM-AVC-silencieux-1536x1147.png 1536w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/IRM-AVC-silencieux-2048x1529.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-61f5915\" data-id=\"61f5915\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-deed0bf elementor-widget elementor-widget-text-editor\" data-id=\"deed0bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le diagnostic repose sur l\u2019IRM c\u00e9r\u00e9brale, qui permet d\u2019identifier :<\/p><div><ul><li>les infarctus lacunaires,<\/li><li>les anomalies de la substance blanche,<\/li><li>les microh\u00e9morragies.<\/li><\/ul><p>Ces l\u00e9sions sont g\u00e9n\u00e9ralement d\u00e9couvertes de fa\u00e7on fortuite lors d\u2019investigations pour d\u2019autres motifs.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-27672ba elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"27672ba\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f275d3d\" data-id=\"f275d3d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e877b7e elementor-widget elementor-widget-heading\" data-id=\"e877b7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Approche th\u00e9rapeutique<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51cb0f5 elementor-widget elementor-widget-text-editor\" data-id=\"51cb0f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La prise en charge des infarctus c\u00e9r\u00e9braux silencieux repose sur une logique de <strong>pr\u00e9vention vasculaire globale<\/strong>, en l\u2019absence de traitement sp\u00e9cifique valid\u00e9.<\/p><p><span style=\"text-decoration: underline;\"><strong>Requalification du risque<\/strong><\/span><\/p><div><p>La pr\u00e9sence d\u2019un ICS doit \u00eatre interpr\u00e9t\u00e9e comme un indicateur de haut risque c\u00e9r\u00e9brovasculaire. Les recommandations sugg\u00e8rent d\u2019adopter une strat\u00e9gie active de pr\u00e9vention similaire \u00e0 celle appliqu\u00e9e aux patients \u00e0 haut risque cardiovasculaire.<\/p><p><span style=\"text-decoration: underline;\"><strong>Contr\u00f4le des facteurs de risque<\/strong><\/span><\/p><div><p>Le contr\u00f4le des facteurs de risque modifiables constitue l\u2019\u00e9l\u00e9ment central de la prise en charge.<\/p><ul><li><strong>Hypertension art\u00e9rielle<\/strong> : principal facteur impliqu\u00e9, n\u00e9cessitant un contr\u00f4le strict afin de limiter la progression de la microangiopathie.<\/li><li><strong>Dyslipid\u00e9mie<\/strong> : traitement par statine selon le profil de risque global.<\/li><li><strong>Diab\u00e8te<\/strong> : optimisation du contr\u00f4le glyc\u00e9mique.<\/li><li><strong>Tabagisme<\/strong> : cessation compl\u00e8te recommand\u00e9e.<\/li><\/ul><p>Les interventions sur les habitudes de vie, incluant activit\u00e9 physique r\u00e9guli\u00e8re et alimentation \u00e9quilibr\u00e9e, contribuent \u00e0 la r\u00e9duction du risque vasculaire global.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0b84159 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0b84159\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c620e93\" data-id=\"c620e93\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9b22083 elementor-widget elementor-widget-text-editor\" data-id=\"9b22083\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Traitements antithrombotiques<\/strong><\/span><\/p><p>L\u2019utilisation des traitements antithrombotiques doit \u00eatre individualis\u00e9e:<\/p><ul><li>les antiagr\u00e9gants ne sont pas syst\u00e9matiques en l\u2019absence d\u2019indication formelle,<\/li><li>une anticoagulation est indiqu\u00e9e uniquement en cas de source cardioembolique document\u00e9e (notamment fibrillation auriculaire).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a28acc9\" data-id=\"a28acc9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ceb5c7a elementor-widget elementor-widget-text-editor\" data-id=\"ceb5c7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Bilan \u00e9tiologique<\/strong><\/span><\/p><p>Une \u00e9valuation cibl\u00e9e est recommand\u00e9e afin d\u2019identifier une cause potentiellement traitable:<\/p><ul><li>d\u00e9pistage de fibrillation auriculaire (ECG, monitoring),<\/li><li>bilan vasculaire (ath\u00e9roscl\u00e9rose carotidienne),<\/li><li>\u00e9valuation cardiovasculaire globale.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f5178f5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f5178f5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-458dfbc\" data-id=\"458dfbc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-29fb338 elementor-widget elementor-widget-text-editor\" data-id=\"29fb338\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Surveillance cognitive<\/strong><\/span><\/p><p>Compte tenu du risque accru de d\u00e9clin cognitif :<\/p><ul><li>un d\u00e9pistage initial (ex. MoCA) est recommand\u00e9,<\/li><li>un suivi longitudinal peut \u00eatre envisag\u00e9 chez les patients \u00e0 risque.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2c28995\" data-id=\"2c28995\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d2c1b0a elementor-widget elementor-widget-text-editor\" data-id=\"d2c1b0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Interventions non pharmacologiques<\/strong><\/span><\/p><p>L\u2019activit\u00e9 physique et la prise en charge multidisciplinaire jouent un r\u00f4le important dans la pr\u00e9vention secondaire, notamment pour :<\/p><ul><li>am\u00e9liorer la perfusion c\u00e9r\u00e9brale,<\/li><li>maintenir les fonctions cognitives et motrices,<\/li><li>r\u00e9duire la progression de la maladie des petits vaisseaux.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8ec4aaa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8ec4aaa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-510cf26\" data-id=\"510cf26\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32ce53f elementor-widget elementor-widget-text-editor\" data-id=\"32ce53f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><style>\na {\n    text-decoration: none;\n    color: #464feb;\n}\ntr th, tr td {\n    border: 1px solid #e6e6e6;\n}\ntr th {\n    background-color: #f5f5f5;\n}\n<\/style><\/p><div><table><tbody><tr><th>\u00c9tape<\/th><th>Intervention<\/th><\/tr><tr><td>D\u00e9couverte IRM<\/td><td>Confirmer ICS<\/td><\/tr><tr><td>Evaluation<\/td><td>Facteurs de risque + bilan cardio<\/td><\/tr><tr><td>Traitement<\/td><td>HTA, lipides, diab\u00e8te<\/td><\/tr><tr><td>Antithrombotique<\/td><td>Individualis\u00e9<\/td><\/tr><tr><td>Suivi<\/td><td>Cognitif + clinique<\/td><\/tr><\/tbody><\/table><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-828066c\" data-id=\"828066c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5c742f elementor-widget elementor-widget-image\" data-id=\"c5c742f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"765\" src=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/Firefly-1-1024x765.png\" class=\"attachment-large size-large wp-image-15132\" alt=\"l\u00e9sions post avc silencieux\" srcset=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/Firefly-1-1024x765.png 1024w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/Firefly-1-300x224.png 300w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/Firefly-1-1536x1147.png 1536w, https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/Firefly-1-2048x1529.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ffbf2ad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ffbf2ad\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d55e6e\" data-id=\"6d55e6e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-04d8f5b elementor-widget elementor-widget-heading\" data-id=\"04d8f5b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclusion<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-995d19f elementor-widget elementor-widget-text-editor\" data-id=\"995d19f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019AVC silencieux constitue une manifestation fr\u00e9quente et cliniquement significative de la maladie c\u00e9r\u00e9brovasculaire. Il repr\u00e9sente un facteur de risque ind\u00e9pendant d\u2019AVC symptomatique, de d\u00e9clin cognitif et de d\u00e9mence.<\/p><div><p>Sa d\u00e9tection doit conduire \u00e0 une prise en charge proactive centr\u00e9e sur la pr\u00e9vention, incluant une optimisation des facteurs de risque et une surveillance clinique adapt\u00e9e. Dans un contexte de vieillissement de la population, il s\u2019agit d\u2019un levier majeur pour r\u00e9duire la charge des pathologies neurologiques et cardiovasculaires.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ecb69d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ecb69d9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d794410\" data-id=\"d794410\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4784898 elementor-widget elementor-widget-heading\" data-id=\"4784898\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Bibliographie<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e0188e elementor-widget elementor-widget-text-editor\" data-id=\"4e0188e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Vermeer SE et al. Silent brain infarcts: a systematic review. Lancet Neurology, 2007. <a href=\"https:\/\/www.thelancet.com\/article\/S1474-4422%2807%2970170-9\/fulltext\">[thelancet.com]<\/a><\/li><li>Smith EE et al. Prevention of stroke in patients with silent cerebrovascular disease. Stroke, 2017. <a href=\"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/STR.0000000000000116\">[ahajournals.org]<\/a><\/li><li>Vermeer SE et al. Silent brain infarcts and risk of dementia. N Engl J Med, 2003. <a href=\"https:\/\/www.nejm.org\/doi\/pdf\/10.1056\/NEJMoa022066\">[nejm.org]<\/a><\/li><li>Lei C et al. Silent brain infarcts and cognitive function. J Stroke Cerebrovasc Dis, 2019. <a href=\"https:\/\/www.strokejournal.org\/article\/S1052-3057%2819%2930131-4\/fulltext\">[strokejournal.org]<\/a><\/li><li>Caplan LR. Lacunar infarction and small vessel disease. J Stroke, 2015. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4325635\/\">[pmc.ncbi.nlm.nih.gov]<\/a><\/li><li>Meinel TR et al. Management of covert brain infarction. Eur Stroke J, 2023. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10683731\/\">[pmc.ncbi.nlm.nih.gov]<\/a><\/li><li>Yaghi S et al. Lacunar stroke: mechanisms and therapeutic implications. JNNP. <a href=\"https:\/\/jnnp.bmj.com\/content\/92\/8\/823\">[jnnp.bmj.com]<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>AVC silencieux : le signal d\u2019alarme c\u00e9r\u00e9brovasculaire \u00e0 ne pas ignorer L\u2019infarctus c\u00e9r\u00e9bral silencieux (ICS), \u00e9galement d\u00e9sign\u00e9 sous le terme d\u2019AVC silencieux, est une entit\u00e9 de plus en plus reconnue en neurologie vasculaire. D\u00e9fini par la pr\u00e9sence de l\u00e9sions c\u00e9r\u00e9brales d\u2019origine vasculaire \u00e0 l\u2019imagerie, en l\u2019absence de manifestation neurologique aigu\u00eb, il constitue un marqueur important&#8230;<\/p>\n","protected":false},"author":1,"featured_media":15148,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[239],"tags":[],"class_list":["post-15127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>AVC silencieux: un signal d\u2019alarme \u00e0 ne pas ignorer| Neuro-Concept<\/title>\n<meta name=\"description\" content=\"L\u2019AVC silencieux, une atteinte fr\u00e9quente et sous-diagnostiqu\u00e9e: d\u00e9couvrez ses m\u00e9canismes, risques (AVC, d\u00e9clin cognitif) et strat\u00e9gies de prise en charge clinique.\" \/>\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.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AVC silencieux: un signal d\u2019alarme \u00e0 ne pas ignorer| Neuro-Concept\" \/>\n<meta property=\"og:description\" content=\"L\u2019AVC silencieux, une atteinte fr\u00e9quente et sous-diagnostiqu\u00e9e: d\u00e9couvrez ses m\u00e9canismes, risques (AVC, d\u00e9clin cognitif) et strat\u00e9gies de prise en charge clinique.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/\" \/>\n<meta property=\"og:site_name\" content=\"Neuro-Concept - Centre de r\u00e9adaptation neurologique\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/neuroconcept\" \/>\n<meta property=\"article:author\" content=\"www.facebook.com\/neuroconcept\" \/>\n<meta property=\"article:published_time\" content=\"2026-06-30T20:49:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-30T22:03:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/AVC-silencieux-1024x765.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"765\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"murielle grangeon\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@Neuro-Concept Inc.\" \/>\n<meta name=\"twitter:site\" content=\"@NeuroConcept\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/\"},\"author\":{\"name\":\"murielle grangeon\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#\\\/schema\\\/person\\\/d44a4c9d5226f08bc4f9cc555439572c\"},\"headline\":\"AVC silencieux : donn\u00e9es actuelles et implications pour la pratique clinique\",\"datePublished\":\"2026-06-30T20:49:26+00:00\",\"dateModified\":\"2026-06-30T22:03:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/\"},\"wordCount\":928,\"publisher\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.neuro-concept.ca\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/AVC-silencieux.png\",\"articleSection\":[\"Le blog de Neuro-Concept\"],\"inLanguage\":\"fr-ca\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/\",\"url\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/\",\"name\":\"AVC silencieux: un signal d\u2019alarme \u00e0 ne pas ignorer| Neuro-Concept\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.neuro-concept.ca\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/AVC-silencieux.png\",\"datePublished\":\"2026-06-30T20:49:26+00:00\",\"dateModified\":\"2026-06-30T22:03:55+00:00\",\"description\":\"L\u2019AVC silencieux, une atteinte fr\u00e9quente et sous-diagnostiqu\u00e9e: d\u00e9couvrez ses m\u00e9canismes, risques (AVC, d\u00e9clin cognitif) et strat\u00e9gies de prise en charge clinique.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#breadcrumb\"},\"inLanguage\":\"fr-ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-ca\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.neuro-concept.ca\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/AVC-silencieux.png\",\"contentUrl\":\"https:\\\/\\\/www.neuro-concept.ca\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/AVC-silencieux.png\",\"width\":2400,\"height\":1792,\"caption\":\"AVC silencieux\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/avc-silencieux-risque-traitement\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"AVC silencieux : donn\u00e9es actuelles et implications pour la pratique clinique\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/\",\"name\":\"Neuro-Concept - Centre de r\u00e9adaptation neurologique\",\"description\":\"La sant\u00e9 - \u00c0 la port\u00e9e de tous\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-ca\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#organization\",\"name\":\"Neuro-Concept\",\"url\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-ca\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.neuro-concept.ca\\\/wp-content\\\/uploads\\\/2019\\\/07\\\/favicon-1.png\",\"contentUrl\":\"https:\\\/\\\/www.neuro-concept.ca\\\/wp-content\\\/uploads\\\/2019\\\/07\\\/favicon-1.png\",\"width\":330,\"height\":330,\"caption\":\"Neuro-Concept\"},\"image\":{\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/neuroconcept\",\"https:\\\/\\\/x.com\\\/NeuroConcept\",\"https:\\\/\\\/www.instagram.com\\\/neuroconcept.rehab\\\/\",\"https:\\\/\\\/twitter.com\\\/NeuroConcept\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.neuro-concept.ca\\\/fr\\\/#\\\/schema\\\/person\\\/d44a4c9d5226f08bc4f9cc555439572c\",\"name\":\"murielle grangeon\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-ca\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c8c1558da30b4b386b3218e5286e61a1a1f497b1e62e8fc3b7c5542fd04e4df8?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c8c1558da30b4b386b3218e5286e61a1a1f497b1e62e8fc3b7c5542fd04e4df8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/c8c1558da30b4b386b3218e5286e61a1a1f497b1e62e8fc3b7c5542fd04e4df8?s=96&d=mm&r=g\",\"caption\":\"murielle grangeon\"},\"sameAs\":[\"https:\\\/\\\/www.neuro-concept.ca\",\"www.facebook.com\\\/neuroconcept\",\"https:\\\/\\\/x.com\\\/Neuro-Concept Inc.\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"AVC silencieux: un signal d\u2019alarme \u00e0 ne pas ignorer| Neuro-Concept","description":"L\u2019AVC silencieux, une atteinte fr\u00e9quente et sous-diagnostiqu\u00e9e: d\u00e9couvrez ses m\u00e9canismes, risques (AVC, d\u00e9clin cognitif) et strat\u00e9gies de prise en charge clinique.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/","og_locale":"fr_FR","og_type":"article","og_title":"AVC silencieux: un signal d\u2019alarme \u00e0 ne pas ignorer| Neuro-Concept","og_description":"L\u2019AVC silencieux, une atteinte fr\u00e9quente et sous-diagnostiqu\u00e9e: d\u00e9couvrez ses m\u00e9canismes, risques (AVC, d\u00e9clin cognitif) et strat\u00e9gies de prise en charge clinique.","og_url":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/","og_site_name":"Neuro-Concept - Centre de r\u00e9adaptation neurologique","article_publisher":"https:\/\/www.facebook.com\/neuroconcept","article_author":"www.facebook.com\/neuroconcept","article_published_time":"2026-06-30T20:49:26+00:00","article_modified_time":"2026-06-30T22:03:55+00:00","og_image":[{"width":1024,"height":765,"url":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/AVC-silencieux-1024x765.png","type":"image\/png"}],"author":"murielle grangeon","twitter_card":"summary_large_image","twitter_creator":"@Neuro-Concept Inc.","twitter_site":"@NeuroConcept","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#article","isPartOf":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/"},"author":{"name":"murielle grangeon","@id":"https:\/\/www.neuro-concept.ca\/fr\/#\/schema\/person\/d44a4c9d5226f08bc4f9cc555439572c"},"headline":"AVC silencieux : donn\u00e9es actuelles et implications pour la pratique clinique","datePublished":"2026-06-30T20:49:26+00:00","dateModified":"2026-06-30T22:03:55+00:00","mainEntityOfPage":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/"},"wordCount":928,"publisher":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/#organization"},"image":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#primaryimage"},"thumbnailUrl":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/AVC-silencieux.png","articleSection":["Le blog de Neuro-Concept"],"inLanguage":"fr-ca"},{"@type":"WebPage","@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/","url":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/","name":"AVC silencieux: un signal d\u2019alarme \u00e0 ne pas ignorer| Neuro-Concept","isPartOf":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#primaryimage"},"image":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#primaryimage"},"thumbnailUrl":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/AVC-silencieux.png","datePublished":"2026-06-30T20:49:26+00:00","dateModified":"2026-06-30T22:03:55+00:00","description":"L\u2019AVC silencieux, une atteinte fr\u00e9quente et sous-diagnostiqu\u00e9e: d\u00e9couvrez ses m\u00e9canismes, risques (AVC, d\u00e9clin cognitif) et strat\u00e9gies de prise en charge clinique.","breadcrumb":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#breadcrumb"},"inLanguage":"fr-ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/"]}]},{"@type":"ImageObject","inLanguage":"fr-ca","@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#primaryimage","url":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/AVC-silencieux.png","contentUrl":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2026\/06\/AVC-silencieux.png","width":2400,"height":1792,"caption":"AVC silencieux"},{"@type":"BreadcrumbList","@id":"https:\/\/www.neuro-concept.ca\/fr\/avc-silencieux-risque-traitement\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.neuro-concept.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"AVC silencieux : donn\u00e9es actuelles et implications pour la pratique clinique"}]},{"@type":"WebSite","@id":"https:\/\/www.neuro-concept.ca\/fr\/#website","url":"https:\/\/www.neuro-concept.ca\/fr\/","name":"Neuro-Concept - Centre de r\u00e9adaptation neurologique","description":"La sant\u00e9 - \u00c0 la port\u00e9e de tous","publisher":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.neuro-concept.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-ca"},{"@type":"Organization","@id":"https:\/\/www.neuro-concept.ca\/fr\/#organization","name":"Neuro-Concept","url":"https:\/\/www.neuro-concept.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-ca","@id":"https:\/\/www.neuro-concept.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2019\/07\/favicon-1.png","contentUrl":"https:\/\/www.neuro-concept.ca\/wp-content\/uploads\/2019\/07\/favicon-1.png","width":330,"height":330,"caption":"Neuro-Concept"},"image":{"@id":"https:\/\/www.neuro-concept.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/neuroconcept","https:\/\/x.com\/NeuroConcept","https:\/\/www.instagram.com\/neuroconcept.rehab\/","https:\/\/twitter.com\/NeuroConcept"]},{"@type":"Person","@id":"https:\/\/www.neuro-concept.ca\/fr\/#\/schema\/person\/d44a4c9d5226f08bc4f9cc555439572c","name":"murielle grangeon","image":{"@type":"ImageObject","inLanguage":"fr-ca","@id":"https:\/\/secure.gravatar.com\/avatar\/c8c1558da30b4b386b3218e5286e61a1a1f497b1e62e8fc3b7c5542fd04e4df8?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/c8c1558da30b4b386b3218e5286e61a1a1f497b1e62e8fc3b7c5542fd04e4df8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c8c1558da30b4b386b3218e5286e61a1a1f497b1e62e8fc3b7c5542fd04e4df8?s=96&d=mm&r=g","caption":"murielle grangeon"},"sameAs":["https:\/\/www.neuro-concept.ca","www.facebook.com\/neuroconcept","https:\/\/x.com\/Neuro-Concept Inc."]}]}},"_links":{"self":[{"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/posts\/15127","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/comments?post=15127"}],"version-history":[{"count":15,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/posts\/15127\/revisions"}],"predecessor-version":[{"id":15151,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/posts\/15127\/revisions\/15151"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/media\/15148"}],"wp:attachment":[{"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/media?parent=15127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/categories?post=15127"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.neuro-concept.ca\/fr\/wp-json\/wp\/v2\/tags?post=15127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}