Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review

Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to sp...

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Autores principales:	Drăghici Iulia-Adela, Marginean Lucian, Filep Rares-Cristian, Bajko Zoltan, Barcutean Laura, Aldea Teodora, Balasa Rodica
Formato:	article
Lenguaje:	EN
Publicado:	Sciendo 2021
Materias:	basilar artery occlusion vertebral artery dissection postpartum period stroke Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/3e34191932634913beb1d5876c603aab
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spelling	oai:doaj.org-article:3e34191932634913beb1d5876c603aab2021-12-05T14:11:08ZPostpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review2393-181710.2478/jccm-2021-0015https://doaj.org/article/3e34191932634913beb1d5876c603aab2021-10-01T00:00:00Zhttps://doi.org/10.2478/jccm-2021-0015https://doaj.org/toc/2393-1817Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to spontaneous vertebral artery dissection in the postpartum period is an infrequent entity and a major diagnostic and treatment challenge. In the present case, a 37-year-old female patient, eight weeks after caesarean delivery, presented with a history of sudden cervical pain, followed by headache and dizziness. Some hours later, she was found unconscious by her family and was transferred to the emergency department, where a neurological status assessment suggested vertebrobasilar stroke. The imagistic workup revealed right vertebral artery dissection and basilar artery occlusion without constituted ischemic lesions. The patient underwent endovascular intervention with dilation of the narrowed vertebral artery and stent retriever basilar artery thrombectomy, with a favourable clinical outcome. This report first presents the details of this case and the relevant literature data on postpartum arterial dissections and the subsequent ischemic complications and available treatment options.Drăghici Iulia-AdelaMarginean LucianFilep Rares-CristianBajko ZoltanBarcutean LauraAldea TeodoraBalasa RodicaSciendoarticlebasilar artery occlusionvertebral artery dissectionpostpartum periodstrokeMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENThe Journal of Critical Care Medicine, Vol 7, Iss 4, Pp 294-301 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	basilar artery occlusion vertebral artery dissection postpartum period stroke Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	basilar artery occlusion vertebral artery dissection postpartum period stroke Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Drăghici Iulia-Adela Marginean Lucian Filep Rares-Cristian Bajko Zoltan Barcutean Laura Aldea Teodora Balasa Rodica Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
description	Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to spontaneous vertebral artery dissection in the postpartum period is an infrequent entity and a major diagnostic and treatment challenge. In the present case, a 37-year-old female patient, eight weeks after caesarean delivery, presented with a history of sudden cervical pain, followed by headache and dizziness. Some hours later, she was found unconscious by her family and was transferred to the emergency department, where a neurological status assessment suggested vertebrobasilar stroke. The imagistic workup revealed right vertebral artery dissection and basilar artery occlusion without constituted ischemic lesions. The patient underwent endovascular intervention with dilation of the narrowed vertebral artery and stent retriever basilar artery thrombectomy, with a favourable clinical outcome. This report first presents the details of this case and the relevant literature data on postpartum arterial dissections and the subsequent ischemic complications and available treatment options.
format	article
author	Drăghici Iulia-Adela Marginean Lucian Filep Rares-Cristian Bajko Zoltan Barcutean Laura Aldea Teodora Balasa Rodica
author_facet	Drăghici Iulia-Adela Marginean Lucian Filep Rares-Cristian Bajko Zoltan Barcutean Laura Aldea Teodora Balasa Rodica
author_sort	Drăghici Iulia-Adela
title	Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_short	Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_full	Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_fullStr	Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_full_unstemmed	Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review
title_sort	postpartum acute basilar artery occlusion secondary to vertebral artery dissection. case report and literature review
publisher	Sciendo
publishDate	2021
url	https://doaj.org/article/3e34191932634913beb1d5876c603aab
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Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review

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