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Intracranial Vertebrobasilar Artery Dissection Associated with Postpartum Angiopathy
Joint Authors
Levine, Joshua M.
Messé, Steven R.
Weigele, John B.
Hurst, Robert W.
McKinney, James S.
Sansing, Lauren H.
Pukenas, Bryan A.
Satti, Sudhakar R.
Kasner, Scott E.
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-09-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Cervicocephalic arterial dissection (CCAD) is rare in the postpartum period.
To our knowledge this is the first reported case of postpartum angiopathy (PPA) presenting with ischemic stroke due to intracranial arterial dissection.
Case.
A 41-year-old woman presented with blurred vision, headache, and generalized seizures 5 days after delivering twins.
She was treated with magnesium for eclampsia.
MRI identified multiple posterior circulation infarcts.
Angiography identified a complex dissection extending from both intradural vertebral arteries, through the basilar artery, and into both posterior cerebral arteries.
Multiple segments of arterial dilatation and narrowing consistent with PPA were present.
Xenon enhanced CT (Xe-CT) showed reduced regional cerebral blood flow that is improved with elevation in blood pressure.
Conclusion.
Intracranial vertebrobasilar dissection causing stroke is a rare complication of pregnancy.
Eclampsia and PPA may play a role in its pathogenesis.
Blood pressure management may be tailored using quantitative blood flow studies, such as Xe-CT.
American Psychological Association (APA)
McKinney, James S.& Messé, Steven R.& Pukenas, Bryan A.& Satti, Sudhakar R.& Weigele, John B.& Hurst, Robert W.…[et al.]. 2009. Intracranial Vertebrobasilar Artery Dissection Associated with Postpartum Angiopathy. Stroke Research and Treatment،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-463283
Modern Language Association (MLA)
McKinney, James S.…[et al.]. Intracranial Vertebrobasilar Artery Dissection Associated with Postpartum Angiopathy. Stroke Research and Treatment No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-463283
American Medical Association (AMA)
McKinney, James S.& Messé, Steven R.& Pukenas, Bryan A.& Satti, Sudhakar R.& Weigele, John B.& Hurst, Robert W.…[et al.]. Intracranial Vertebrobasilar Artery Dissection Associated with Postpartum Angiopathy. Stroke Research and Treatment. 2009. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-463283
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463283