Bilateral spontaneous vertebral artery dissection: management during labor and vaginal delivery.
We report the successful management of labor and delivery of a parturient with a history of spontaneous bilateral vertebral artery dissection. We also outline the reasons why the obstetric anesthetist should be aware of this condition as well as other cranio-cervical dissections.
Department of Anesthesia, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
N
N
O'Rourke
L
L
Wollman
W
W
Camann
D000328:Adult; D000773:Anesthesia, Obstetrical; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D007744:Obstetric Labor Complications / Q000628:therapy*; D010121:Oxytocin / Q000627:therapeutic use; D010146:Pain / Q000175:diagnosis; D011247:Pregnancy; D012306:Risk; D020217:Vertebral Artery Dissection / Q000150:complications* / Q000628:therapy*
D000925:Anticoagulants; D010121:Oxytocin