title: Postpartum vertebral artery dissection.
abstract: We report a case of a right vertebral artery dissection in a 35-year-old woman, 3 weeks post partum, with manifestations of vertebrobasilar disease. She was 3 weeks out from the uneventful delivery of her fourth child, with presentation of acute neurological symptoms, predominantly intractable vertigo. Vertigo can have many non-specific generalised symptoms and clinical findings. Postpartum women have a lengthy list of possible aetiologies of vertigo not limited to our initially suspected preeclampsia, dural venous thrombosis and vertebral dissection.
authors.affiliation: Magnolia Regional Health Center, Nova Southeastern University, Fort Lauderdale, Florida, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Finley
authors.affiliation: Department of Graduate Medical Education, Magnolia Regional Health Center, Corinth, Mississippi, USA.
authors.forename: Brenton
authors.initials: B
authors.lastname: Rogers
authors.affiliation: Department of Graduate Medical Education, Magnolia Regional Health Center, Corinth, Mississippi, USA.
authors.forename: Theodore
authors.initials: T
authors.lastname: Richards
authors.affiliation: Department of Graduate Medical Education, Magnolia Regional Health Center, Corinth, Mississippi, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Vogel
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D002531:Cerebellum / Q000098:blood supply; D003422:Critical Care; D005260:Female; D020773:Headache Disorders / Q000209:etiology / Q000473:pathology*; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D018810:Magnetic Resonance Angiography; D009325:Nausea / Q000209:etiology; D049590:Postpartum Period; D016896:Treatment Outcome; D020217:Vertebral Artery Dissection / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D014717:Vertigo / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D014839:Vomiting / Q000209:etiology
chemical_list: D000925:Anticoagulants; D006493:Heparin