Dissection artérielle carotidienne bilatérale dans un contexte de prééclampsie sévère : une cause inhabituelle de céphalées du post-partum

Hoffmann, Clément; Augé, Marion; Falzone, É.; Martel-Jacob, S.; Mercier, F.J.

doi:10.1016/j.annfar.2013.02.008

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…The literature search in PubMed and in Chinese medical network databases yielded 30 articles including 44 patients with postpartum cerebral arterial dissections [6,16–43] (Table 1). Including the case from our hospital, there were a total of 45 patients, with an age range of 24 to 44 years (mean 34).…”

Section: Resultsmentioning

confidence: 99%

Postpartum cerebral arterial dissections

et al. 2021

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Postpartum cerebral arterial dissections are rare, and the clinical features, diagnosis, and treatment approaches are not clear to many physicians. This study was to investigate the clinical features, diagnosis, and treatment of postpartum cerebral arterial dissections.One patient with postpartum cerebral arterial dissections enrolled in our hospital was analyzed. All patients with postpartum cerebral arterial dissections retrieved from the PubMed were also included in this study and analyzed.A total of 45 patients with postpartum cerebral arterial dissections were retrieved including our case, with an age range of 24 to 44 years (mean 34). Thirty-six (80%) patients were older than 30 years of age (mean 35). There were 17 cases of cesarean section, 14 cases of natural labor, and 14 cases whose delivery modes were not reported. The clinical symptoms included headache in 35 cases (78%) and neck pain in 14 (31%). The symptoms occurred at a mean time of 11 days (range 0-53 days) following delivery. Among 45 patients, arterial dissections involved unilateral carotid or vertebral artery in 29 cases (64%), bilateral carotid or vertebral arteries in 8 (18%), 3 arteries in 3 (7%), and all bilateral carotid and vertebral arteries in 5 (11%). Fourteen (31%) patients were treated with antiplatelet agents, 27 (60%) with anticoagulation, 7 (16%) with both antiplatelet and anticoagulation medications, and only 2 (4%) with stent angioplasty. The prognosis was complete recovery in 30 (86%) patients and mild focal neurological symptoms in 5 (14%).Postpartum cerebral arterial dissections are rare, and correct diagnosis relies on imaging examination. Prognosis is usually favorable in patients with early diagnosis and prompt treatment.

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Section: Resultsmentioning

confidence: 99%

Postpartum cerebral arterial dissections

et al. 2021

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“…Experts in the field consider the central role to be autoimmune thrombotic microangiopathy leading to the development of the HELLP syndrome [6]. However, cases of CAD are very rare in this context, and to our knowledge only 2 have been published to date: the first case involves a bithalamic infarct as a result of a left vertebral artery dissection [7] and the second case a bilateral internal carotid artery dissection without stroke in a severe preeclamptic setting [8]. However, in view of the current knowledge, no correlation between the HELLP syndrome and CAD can be established.…”

Section: Discussionmentioning

confidence: 99%