RT Journal Article
SR Electronic
T1 Cervical Artery Dissection in Young Women
JF Neurology: Clinical Practice
FD Lippincott Williams & Wilkins
SP e803
OP e808
DO 10.1212/CPJ.0000000000001092
VO 11
IS 6
A1 Assif, Myriam
A1 Lamy, Catherine
A1 De Gaalon, Solène
A1 Caroit, Yolande
A1 Bourcier, Romain
A1 Preterre, Cécile
A1 Guillon, Benoit
YR 2021
UL http://cp.neurology.org/content/11/6/e803.abstract
AB Objectives To assess the risk of recurrence of cervical artery dissection (CAD) during pregnancy and puerperium in women with a history of CAD and then help physicians with providing medical information to women who wish to become pregnant.Methods Women aged 16–45 years who were admitted to our center for a CAD between 2005 and 2017 were identified from the hospital database, and those with spontaneous and symptomatic CAD were included. They were then contacted to answer a questionnaire that was specifically designed in regard to the recurrence of CAD and pregnancies after the primary CAD.Results Ninety-one patients satisfied our inclusion criteria, and 89 were included in the analysis. During a median follow-up of 7.0 years, 4 women (4.4%) had recurrent CAD, although none during pregnancy or puerperium. Eighteen women (20%) had a total of 20 full-term pregnancies, occurring at least 6 months after CAD. Of these 20 pregnancies, 13 (65%) were vaginal deliveries, and 7 (35%) were cesarean sections. The reason for the absence of pregnancies after the initial CAD was unrelated to the vascular event in 89% of cases, but 8% of the women had been advised by a physician to avoid any future pregnancy or they had been recommended to undergo abortion or sterilization.Conclusion In this study, there were no CAD recurrences during subsequent pregnancies or postpartum, irrespective of the type of delivery. Thus, pregnancy after a history of CAD appears to be safe.