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Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review

Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to sp...

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Autores principales: Drăghici, Iulia-Adela, Marginean, Lucian, Filep, Rares-Cristian, Bajko, Zoltan, Barcutean, Laura, Aldea, Teodora, Balasa, Rodica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8647675/
https://www.ncbi.nlm.nih.gov/pubmed/34934820
http://dx.doi.org/10.2478/jccm-2021-0015
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author Drăghici, Iulia-Adela
Marginean, Lucian
Filep, Rares-Cristian
Bajko, Zoltan
Barcutean, Laura
Aldea, Teodora
Balasa, Rodica
author_facet Drăghici, Iulia-Adela
Marginean, Lucian
Filep, Rares-Cristian
Bajko, Zoltan
Barcutean, Laura
Aldea, Teodora
Balasa, Rodica
author_sort Drăghici, Iulia-Adela
collection PubMed
description Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to spontaneous vertebral artery dissection in the postpartum period is an infrequent entity and a major diagnostic and treatment challenge. In the present case, a 37-year-old female patient, eight weeks after caesarean delivery, presented with a history of sudden cervical pain, followed by headache and dizziness. Some hours later, she was found unconscious by her family and was transferred to the emergency department, where a neurological status assessment suggested vertebrobasilar stroke. The imagistic workup revealed right vertebral artery dissection and basilar artery occlusion without constituted ischemic lesions. The patient underwent endovascular intervention with dilation of the narrowed vertebral artery and stent retriever basilar artery thrombectomy, with a favourable clinical outcome. This report first presents the details of this case and the relevant literature data on postpartum arterial dissections and the subsequent ischemic complications and available treatment options.
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spelling pubmed-86476752021-12-20 Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review Drăghici, Iulia-Adela Marginean, Lucian Filep, Rares-Cristian Bajko, Zoltan Barcutean, Laura Aldea, Teodora Balasa, Rodica J Crit Care Med (Targu Mures) Case Report Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to spontaneous vertebral artery dissection in the postpartum period is an infrequent entity and a major diagnostic and treatment challenge. In the present case, a 37-year-old female patient, eight weeks after caesarean delivery, presented with a history of sudden cervical pain, followed by headache and dizziness. Some hours later, she was found unconscious by her family and was transferred to the emergency department, where a neurological status assessment suggested vertebrobasilar stroke. The imagistic workup revealed right vertebral artery dissection and basilar artery occlusion without constituted ischemic lesions. The patient underwent endovascular intervention with dilation of the narrowed vertebral artery and stent retriever basilar artery thrombectomy, with a favourable clinical outcome. This report first presents the details of this case and the relevant literature data on postpartum arterial dissections and the subsequent ischemic complications and available treatment options. Sciendo 2021-11-06 /pmc/articles/PMC8647675/ /pubmed/34934820 http://dx.doi.org/10.2478/jccm-2021-0015 Text en © 2021 Iulia-Adela Drăghici, Lucian Marginean, Rares-Cristian Filep, Zoltan Bajko, Laura Barcutean, Teodora Aldea, Rodica Balasa, published by Sciendo https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Case Report
Drăghici, Iulia-Adela
Marginean, Lucian
Filep, Rares-Cristian
Bajko, Zoltan
Barcutean, Laura
Aldea, Teodora
Balasa, Rodica
Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_full Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_fullStr Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_full_unstemmed Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_short Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_sort postpartum acute basilar artery occlusion secondary to vertebral artery dissection. case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8647675/
https://www.ncbi.nlm.nih.gov/pubmed/34934820
http://dx.doi.org/10.2478/jccm-2021-0015
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