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Spontaneous carotid artery dissection in pregnancy


Rüegger, Jessica; Krähenmann, Franziska; Schwarz, Urs; Kollias, Spyridon; Zimmermann, Roland; Kreft, Martina (2016). Spontaneous carotid artery dissection in pregnancy. Case Reports in Perinatal Medicine, 5(2):113-115.

Abstract

We report on a 35-year-old woman who presented at 36 weeks of gestation with headaches and arterial hypertension. She was discharged after ruling out pre-eclampsia. The next day she returned with worsening headaches and an onset of Horner’s syndrome. A magnetic resonance (MR) angiography showed extensive dissection of the right-sided internal carotid artery. Anticoagulation and antihypertensive therapies were initiated after delivery of the baby by caesarean. The patient recovered fully. Headache in pregnancy is not always due to pre-eclampsia. Carotid artery dissection (CAD) is a rare but severe cause of headache that typically presents with neck pain and focal neurologic symptoms. Once the diagnosis is established, an immediate treatment should be started in order to minimise damage, especially ischaemic lesions.

Abstract

We report on a 35-year-old woman who presented at 36 weeks of gestation with headaches and arterial hypertension. She was discharged after ruling out pre-eclampsia. The next day she returned with worsening headaches and an onset of Horner’s syndrome. A magnetic resonance (MR) angiography showed extensive dissection of the right-sided internal carotid artery. Anticoagulation and antihypertensive therapies were initiated after delivery of the baby by caesarean. The patient recovered fully. Headache in pregnancy is not always due to pre-eclampsia. Carotid artery dissection (CAD) is a rare but severe cause of headache that typically presents with neck pain and focal neurologic symptoms. Once the diagnosis is established, an immediate treatment should be started in order to minimise damage, especially ischaemic lesions.

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Item Type:Journal Article, refereed, original work
Communities & Collections:National licences > 142-005
Dewey Decimal Classification:Unspecified
Language:English
Date:1 September 2016
Deposited On:16 Jul 2019 11:39
Last Modified:31 Jul 2020 03:28
Publisher:De Gruyter
ISSN:2192-8959
OA Status:Green
Publisher DOI:https://doi.org/10.1515/crpm-2015-0103
Related URLs:https://www.swissbib.ch/Search/Results?lookfor=nationallicencegruyter101515crpm20150103 (Library Catalogue)

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