Document Detail

Unilateral carotid and vertebral artery dissections and contralateral subarachnoid hemorrhage in a postpartum patient.
MedLine Citation:
PMID:  18686648     Owner:  NLM     Status:  MEDLINE    
Postpartum arterial dissection combined with subarachnoid hemorrhage (SAH) is rare and its mechanism is uncertain. A 32 year-old woman had a delivery by cesarean section 12 days prior to admission to our hospital. From the first day of delivery, she breast-fed her baby, sitting with her head always turned to the right. Each feeding lasted around 2 hours. A bilateral throbbing headache began two days after childbirth, and intermittent numbness of the right face, chest and hand as well as weakness of the right hand developed nine days after giving birth. A physical examination revealed transient mild hypertension and right hemiparesis. Her cholesterol ranged from 204 to 263 mg/dl. Computed tomography, magnetic resonance angiography and duplex ultrasound disclosed left fronto-parietal junction SAH and dissections of the right internal carotid (ICA) and vertebral arteries. Our patient demonstrated (1) that postpartum arterial dissection was not limited to natural delivery, (2) postpartum SAH could occur with dissections of the contralateral extracranial carotid and vertebral arteries, and (3) that turning one's head always to the same side during breast-feeding might be a risk factor for this unusual stroke pattern.
Peiyuan F Hsieh; Yi-Chung Lee; Ming-Hong Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurologica Taiwanica     Volume:  17     ISSN:  1028-768X     ISO Abbreviation:  Acta Neurol Taiwan     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-08-08     Completed Date:  2008-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815355     Medline TA:  Acta Neurol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  94-8     Citation Subset:  IM    
Division of Neurology, Taichung Veterans General Hospital, Taiwan.
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MeSH Terms
Breast Feeding
Carotid Artery, Internal, Dissection / etiology*
Puerperal Disorders / etiology*
Subarachnoid Hemorrhage / etiology*
Vertebral Artery Dissection / etiology*

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