Risk of Recurrence of Cervical Artery Dissection During Pregnancy and Puerperium

AbstractObjectives:To assess the risk of recurrence of cervical artery dissection (CAD) during pregnancy and puerperium in women with a history of CAD, and then help physicians with providing medical information to women who wish to become pregnant.Methods:Women aged 16- 45 years who were admitted to our center for a CAD between 2005 and 2017 were identified from the hospital database and those with spontaneous and symptomatic CAD were included. They were then contacted to answer a questionnaire that was specifically designed in regard to the recurrence of CAD and pregnancies after the primary CAD.Results:91 patients satisfied our inclusion criteria and 89 were included in the analysis. During a median follow-up of 7.0 years, four women (4,4%) had recurrent CAD, although none during pregnancy or puerperium. Eighteen women (20%) had a total of 20 full-term pregnancies, occurring at least 6 months post-CAD. Of these 20 pregnancies, 13 (65%) were vaginal deliveries and 7 (35%) were cesarean sections. The reason for the absence of pregnancies after the initial CAD was unrelated to the vascular event in 89% of cases but 8% of the women had been advised by a physician to avoid any future pregnancy or they had been recommended to undergo an abortion or sterilization.Conclusion:In this study, there were no CAD recurrences during subsequent pregnancies or postpartum, irrespective of the type of delivery. Thus, pregnancy after a history of CAD appears to be safe.

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Seasonal variability in spontaneous cervical artery dissection

Yearbook of Neurology and Neurosurgery ◽

10.1016/s0513-5117(08)70177-7 ◽

2007 ◽

Vol 2007 ◽

pp. 256-258 ◽

Cited By ~ 1

Author(s):

P.R. Chen

Keyword(s):

Seasonal Variability ◽

Artery Dissection ◽

Cervical Artery Dissection ◽

Cervical Artery

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Association of Varicella-Zoster Virus With Cervical Artery Dissection in 2 Cases

Archives of Neurology ◽

10.1001/archneur.57.3.427 ◽

2000 ◽

Vol 57 (3) ◽

pp. 427-427 ◽

Cited By ~ 19

Author(s):

C. S. Constantinescu

Keyword(s):

Varicella Zoster Virus ◽

Artery Dissection ◽

Cervical Artery Dissection ◽

Varicella Zoster ◽

Cervical Artery

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Faculty Opinions recommendation of Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): a randomised trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725358262.793513956 ◽

2016 ◽

Author(s):

Shyam Prabhakaran ◽

Shawna Cutting

Keyword(s):

Randomised Trial ◽

Artery Dissection ◽

Cervical Artery Dissection ◽

Antiplatelet Treatment ◽

Anticoagulation Treatment ◽

Cervical Artery

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Association between Pregnancy and Cervical Artery Dissection

Annals of Neurology ◽

10.1002/ana.25813 ◽

2020 ◽

Vol 88 (3) ◽

pp. 596-602

Author(s):

Setareh Salehi Omran ◽

Neal S. Parikh ◽

Sharon Poisson ◽

Jennifer Armstrong ◽

Alexander E. Merkler ◽

...

Keyword(s):

Artery Dissection ◽

Cervical Artery Dissection ◽

Cervical Artery

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Traumatic Dissection of Arterial Cervical Vessels: Report of Two Cases and Literature Review

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0040-1718422 ◽

2020 ◽

Author(s):

Guilherme Finger ◽

Tobias Ludwig do Nascimento ◽

Julia Carolina Lusa Tessaro ◽

Eduarda Tanus Stefani ◽

Maria Eduarda Conte Gripa ◽

...

Keyword(s):

Literature Review ◽

Acute Phase ◽

Clinical Signs ◽

Artery Dissection ◽

Cervical Artery Dissection ◽

Cervical Artery

AbstractEven though traumatic dissection of cervical arterial vessels is the major cause of stroke among adults, it is still an underdiagnosed disease in neurosurgical emergencies, since most patients do not have or present subtle clinical signs in the acute phase. The authors report two interesting cases of cervical artery dissection with different traumatic mechanisms and present a broad literature review about this subject.

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Cervical artery dissection—an easily neglected cause of stroke: a case report

BMC Neurology ◽

10.1186/s12883-020-02006-6 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Ya -Hui Lian ◽

Xin Chen ◽

De- Rui Kong ◽

Wei Chen ◽

Ming-Chao Shi ◽

...

Keyword(s):

Young People ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Vascular Occlusion ◽

Artery Dissection ◽

High Signal ◽

Cervical Artery Dissection ◽

Cervical Artery ◽

The Right

Abstract Background In recent years, the incidence of stroke has gradually increased in young people. There are many reasons causing stroke, including atherosclerosis, artery embolization, and cervical artery dissection and so on. However, cervical artery dissection is a major cause of stroke in young people. We present a case of ischemic stroke caused by dissection, whose distal vascular occlusion due to detachment of the thrombosis in the right internal carotid artery. Case presentation A 33-year-old male patient was admitted to the hospital because of stroke. Imaging examination showed that there was no visualization of the right middle cerebral artery and there were a large number of mural thrombus in the C1 segment of the right internal carotid artery. After emergency surgery, the patient had vascular recanalization and the symptoms were significantly improved. Magnetic resonance imaging showed a high signal in the C1 segment of the right internal carotid artery, the abnormal signal disappeared after antiplatelet therapy. Conclusions When a patient has symptoms of stroke, we need to explore the root cause of stroke. Especially in young people, cervical artery dissection is an important reason that can’t be ignored. Through review and analysis of this case, we hope to improve the understanding of radiologists and clinicians about the cervical artery dissection, reduce the rate of misdiagnosis, and improve patients’ prognosis.

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