Bilateral internal carotid artery dissection in the postpartum period

Francis I. Baffour, Kathryn F. Kirchoff-Torres, Francine H. Einstein, Scarlett Karakash, Todd S. Miller

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)489-492
Number of pages4
JournalObstetrics and Gynecology
Volume119
Issue number2 PART 2
DOIs
StatePublished - Feb 2012

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Internal Carotid Artery Dissection
Postpartum Period
Dissection
Tunica Intima
Peripartum Period
Valsalva Maneuver
Pregnancy
Cerebral Infarction
Carotid Arteries
Neuroimaging
Causality
Headache
Arteries
Hemodynamics
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Bilateral internal carotid artery dissection in the postpartum period. / Baffour, Francis I.; Kirchoff-Torres, Kathryn F.; Einstein, Francine H.; Karakash, Scarlett; Miller, Todd S.

In: Obstetrics and Gynecology, Vol. 119, No. 2 PART 2, 02.2012, p. 489-492.

Research output: Contribution to journalArticle

Baffour, Francis I. ; Kirchoff-Torres, Kathryn F. ; Einstein, Francine H. ; Karakash, Scarlett ; Miller, Todd S. / Bilateral internal carotid artery dissection in the postpartum period. In: Obstetrics and Gynecology. 2012 ; Vol. 119, No. 2 PART 2. pp. 489-492.
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