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  3. Postpartum cervicocephalic artery dissection

Postpartum cervicocephalic artery dissection

Details
Publisher DOI
10.1161/STROKEAHA.107.510107
PubMed ID
18535274
Abstract
BACKGROUND AND PURPOSE: Cervicocephalic artery dissection (CAD) after childbirth is rare. The objective of this study was to determine differences between postpartum and nonpostpartum CAD. METHODS: We compared consecutive patients with postpartum CAD with a control group of women with nonpostpartum CAD. RESULTS: Of 245 patients with CAD, 102 women <50 years (6 with postpartum CAD and 96 with nonpostpartum CAD) were identified. Vascular risk factors and presenting characteristics did not differ significantly between postpartum CAD and nonpostpartum CAD women. By contrast, patients with postpartum CAD had more often coexisting conditions such as reversible cerebral vasoconstriction syndrome (2 of 6 versus 2 of 96; P=0.017), reversible posterior leukoencephalopathy syndrome (2 of 6 versus one of 96; P=0.009), and subarachnoid hemorrhage without signs of intracranial extension of CAD (2 of 6 versus zero of 96; P=0.003). CONCLUSIONS: CAD and associated conditions should be looked for in women with unusual headache after childbirth.
Date Issued
2008
Publication Type
Article
Language(s)
en
Author(s)
Arnold, Marcel  
Universitätsklinik für Neurologie  
Camus-Jacqmin, Mathilde
Stapf, Christian
Ducros, Anne
Viswanathan, Anand
Berthet, Karine
Bousser, Marie Germaine
Additional Credits
Universitätsklinik für Neurologie  
Journal
Stroke
Publisher
Lippincott Williams & Wilkins
ISSN
0039-2499
ISBN
18535274
Access(Rights)
metadata.only
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