Spontaneous carotid artery dissection in pregnancy

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.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Spontaneous carotid artery dissection in pregnancy ; volume:5 ; number:2 ; year:2016 ; pages:113-115 ; extent:3
Case reports in perinatal medicine ; 5, Heft 2 (2016), 113-115 (gesamt 3)

Urheber
Rüegger, Jessica
Krähenmann, Franziska
Schwarz, Urs
Kollias, Spyridon
Zimmermann, Roland
Kreft, Martina

DOI
10.1515/crpm-2015-0103
URN
urn:nbn:de:101:1-2411121521197.566647293598
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:24 MESZ

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Beteiligte

  • Rüegger, Jessica
  • Krähenmann, Franziska
  • Schwarz, Urs
  • Kollias, Spyridon
  • Zimmermann, Roland
  • Kreft, Martina

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