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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