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Cervical Artery Dissection in Postpartum Women after Cesarean and Vaginal Delivery.
Urrutia, Francisca; Mazzon, Enrico; Brunser, Alejandro; Diaz, Violeta; Calderon, Juan Francisco; Stecher, Ximena; Bernstein, Tomas; Zuñiga, Paulo; Schilling, Andrea; Muñoz Venturelli, Paula.
Afiliación
  • Urrutia F; Clinical Research Center, Institute of Sciences and Innovation in Medicine, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Chile.
  • Mazzon E; Clinical Research Center, Institute of Sciences and Innovation in Medicine, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Chile; Neurology Service, Department of Neurology and Psychiatry, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, S
  • Brunser A; Neurology Service, Department of Neurology and Psychiatry, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile; Department of General Emergency, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santi
  • Diaz V; Neurology Service, Department of Neurology and Psychiatry, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Calderon JF; Genetic and Genomic Center, Institute of Sciences and Innovation in Medicine, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Stecher X; Department of Imaging, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Bernstein T; Department of Imaging, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Zuñiga P; Department of Imaging, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Schilling A; Department of Pediatrics and Ginecology, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Muñoz Venturelli P; Clinical Research Center, Institute of Sciences and Innovation in Medicine, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, Chile; Neurology Service, Department of Neurology and Psychiatry, Clínica Alemana de Santiago, Faculty of Medicine Clínica Alemana Universidad del Desarrollo, S
J Stroke Cerebrovasc Dis ; 31(8): 106572, 2022 Aug.
Article en En | MEDLINE | ID: mdl-35716521
BACKGROUND AND AIMS: Cervical artery dissection (CAD) is an infrequent but potentially disabling and fatal disease, accounting for up to 25 % of strokes in young adults. Pregnancy-related hormonal changes and increased hemodynamic stress on artery walls during vaginal delivery have been associated to CAD. We aim to describe a series of women presenting CAD during postpartum (PP) after cesarean and vaginal delivery. METHODS: CAD women admitted to one hospital in Santiago, Chile, between July 2018 and October 2020 were included in a prospective cohort. Demographic, clinical and imaging data were registered for the PP group. RESULTS: Sixty-seven women were diagnosed with CAD, from which 10 were PP. Seven women had cesarean section and 3 had vaginal delivery. They presented CAD related symptoms after a median of 10.5 (IQR 5-15) days from delivery. All of them had headache as initial symptom, 9 presented cervical pain and 8 had a family history of stroke. Four patients presented preeclampsia during pregnancy. Acute treatment consisted mostly in antiplatelet agents and analgesics. None of these patients had a CAD related stroke. Demographic, clinical and imaging characteristics of these women with CAD during PP are described. CONCLUSIONS: This case series underpins the importance of clinical suspicion of CAD after delivery, highlighting the fact that CAD is not limited to women with vaginal delivery, thus alternative causes beyond acute hemodynamic stress could be involved. Further research is required to determine genetic components, along with deeper knowledge of modulating factors related to CAD in this setting.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección de la Arteria Carótida Interna / Accidente Cerebrovascular / Disección de la Arteria Vertebral Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Stroke Cerebrovasc Dis Asunto de la revista: ANGIOLOGIA / CEREBRO Año: 2022 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección de la Arteria Carótida Interna / Accidente Cerebrovascular / Disección de la Arteria Vertebral Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Stroke Cerebrovasc Dis Asunto de la revista: ANGIOLOGIA / CEREBRO Año: 2022 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Estados Unidos