title: Spontaneous carotid artery dissection: a rare cause of stroke in pregnancy and approach to diagnosis and management.
abstract: Acute onset of neurological symptoms in a pregnant female is a rare medical emergency. We report a case of a 38-year-old female who presented with a stroke secondary to carotid artery dissection. Our case illustrates the need to consider vascular imaging before administering thrombolytic therapy in peripartum females to avoid unnecessary risks to either the mother or the fetus. Management is controversial and is discussed briefly.
authors: Mohammadtokir
authors: M
authors: Mujtaba
authors: Michelle D
authors: MD
authors: Kelsey
authors: Muhammad Ahsan
authors: MA
authors: Saeed
mesh_terms: D000328:Adult; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D002533:Cerebral Angiography / Q000379:methods; D017984:Enoxaparin / Q000008:administration & dosage*; D005260:Female; D005323:Fetal Monitoring; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007269:Injections, Intra-Arterial; D011247:Pregnancy; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D017131:Thrombectomy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex
chemical_list: D017984:Enoxaparin; D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator