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Table 1 Summary of our 4 cases with the case reports in the literature

From: Vertebral artery dissection in hypertensive disorders of pregnancy: a case series and literature review

  Age Risk factors HDP Symptom Neurological signs Event time Treatment Outcome
Case 1 32 None Yes - Preeclampsia Left sided neck pain No Antenatal Aspirin Alive - no neurological deficit
Case 2 33 None Yes - preeclampsia Right sided neck pain No Antenatal Heparin - > Aspirin Alive - no neurological deficit
Case 3 30 Migraine, Obesity Yes - NSAID induced postpartum HTN Headche with left sided neck pain No Postnatal LMWH - > Aspirin Alive - no neurological deficit
Case 4 30 Previous IUGR and post partum eclampsia Yes - NSAID induced postpartum HTN Left sided neck pain No Postnatal Aspirin Alive - no neurological deficit
McKinney J et al. [1] 41 None Yes Headache, HTN, Dysarthria Quadriplegia Post natal Aspirin Alive with residual memory and visual loss
Arnold M et al. [2] 41 Migraine - n/a- Bilateral neck pain TIA Post natal -n/a-  
  35 Migraine, Smoker, HTN -n/a- Bilateral headache Ischemic CVA Postnatal -n/a- Alive, Ischemic CVA
  27 Migraine -n/a- Ipsilateral neck pain   Postnatal -n/a-  
  38 Migraine, HTN -n/a- Thunderclap headache   Postnatal -n/a  
  34 Chiropractor neck manipulation -n/a- Ipsilateral neck pain with headache   Postnatal -n/a-  
Tuluc M et al. [5] 39 None Yes Headache preceeding loss of consciousness LOC Antenatal -n/a- Deceased mother, Live baby
Borelli P et al. [3] 34 None Yes Headache with visual disturbance None Postnatal Aspirin Alive