Emergency department presentation of bilateral carotid artery dissections in a postpartum patient

Josyann Abisaab, Nicole Nevadunsky, Neal Flomenbaum

Research output: Contribution to journalArticle

22 Scopus citations


Spontaneous unilateral postpartum carotid arterial dissection is a rarely reported event. This is the first reported case of bilateral carotid artery dissection. A 35-year-old gravida 4, para 3 woman presented to our emergency department with complaint of headache for 3 days. Medical history included delivery of a full-term infant by cesarean section 9 days before presentation because of arrest of descent after 3 hours of pushing. Symptoms were later attributed to a parietal lobe cerebral vascular accident and bilateral internal carotid artery dissection. Physicians should consider the possibility of arterial dissection in any postpartum patient with unremitting headache when evaluation of typical causes fails to lead to a diagnosis. Appropriate diagnostic evaluation and treatment should be actively pursued in this population.

Original languageEnglish (US)
Pages (from-to)484-489
Number of pages6
JournalAnnals of emergency medicine
Issue number5
Publication statusPublished - Nov 1 2004
Externally publishedYes


ASJC Scopus subject areas

  • Emergency Medicine

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