Document Detail

Bilateral internal carotid artery dissection in the postpartum period.
MedLine Citation:
PMID:  22270449     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: : Bilateral internal carotid artery dissection is a rare event associated with pregnancy, especially in a patient without any predisposing risk factors.
CASE: : A 34-year-old woman presented with postpartum unilateral weakness, headaches, and blurry vision 14 days after vaginal delivery. Radiologic imaging revealed bilateral cervical internal carotid artery dissections and cerebral infarctions. She was treated with anticoagulation and showed radiographic and clinical improvement.
CONCLUSION: : The pathophysiology of cervical artery dissection appears multifactorial, with evidence suggesting environmental and genetic contributions. Intimal injury related to the Valsalva maneuver during labor as well as hemodynamic and hormonal changes related to pregnancy are presumed causes of peripartum spontaneous carotid artery dissection. Antithrombotic therapy for at least 3 to 6 months after dissection and follow-up neuroimaging are suggested.
Francis I Baffour; Kathryn F Kirchoff-Torres; Francine H Einstein; Scarlett Karakash; Todd S Miller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  119     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  489-92     Citation Subset:  AIM; IM    
From the Albert Einstein College of Medicine and the Departments of Neurology, Obstetrics and Gynecology and Women's Health, and Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.
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