Internal carotid artery dissection as a cause of headache in the second trimester.
OBJECTIVE
Carotid dissection is a rare cause of headache in pregnancy.


METHODS
A 38-year-old woman gravida 5 para 3-0-1-3 presented at 21 weeks with a headache. Imaging revealed carotid artery dissection.


CONCLUSIONS
Carotid artery dissection may cause refractory headache in pregnancy. Prompt anticoagulation is required due to the potential for stroke.
Maderia
Leah M
LM
Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, DE, USA.
Hoffman
Matthew K
MK
Shlossman
Philip A
PA
D000328:Adult; D020215:Carotid Artery, Internal, Dissection / Q000150:complications*; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011262:Pregnancy Trimester, Second