[Dissecting aneurysm of the extracranial vertebral arteries and pregnancy].
A 32-year-old woman was at the end of her first and-until then normal-pregnancy, when she abruptly experienced a severe neck pain. Delivery was provoked two days later but a week after she suddenly developed a left lateral medullary syndrome. Angiography disclosed a severe diffuse and irregular narrowing of both vertebral arteries in their second and third segments, typical of dissecting aneurysm. The patient was treated with heparin and made a partial recovery. A second angiography nine months later showed a normal left vertebral artery while the right one was probably occluded.
Service de Neurologie, Centre Raymond Garcin, Hôpital Sainte Anne, Paris.
J L
JL
Mas
M G
MG
Bousser
P
P
Corone
P J
PJ
Touboul
D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging; D011859:Radiography; D014711:Vertebral Artery
Anévrysme disséquant des artères vertébrales extracraniennes et grossesse.