关键词: Dissection fibromuscular dysplasia gestation pre-eclampsia puerperium

Mesh : Adult Female Humans Pregnancy HELLP Syndrome / epidemiology Postpartum Period Pre-Eclampsia / epidemiology Vertebral Artery Dissection / epidemiology Pregnancy Complications, Cardiovascular / epidemiology Risk Factors

来  源:   DOI:10.1080/14767058.2022.2122799

Abstract:
UNASSIGNED: Cervical artery dissection (CeAD) is responsible of one fifth of cases of ischemic stroke, but is uncommon during pregnancy or the early postpartum period and evidence is derived from published case reports and case series.
UNASSIGNED: This systematic review with a prospectively registered protocol was conducted to study the clinical presentation, management and prognosis of this condition.
UNASSIGNED: Ovid-Medline, PubMed Central, and CINAHL were searched without language restriction.
UNASSIGNED: Fifty-seven articles (50 case reports and seven case series) reporting on 77 patients were included. The mean age was 33.7 years. The main possible risk factors identified were migraine, hyperlipidemia, connective tissue disorders, preeclampsia and eclampsia, HELLP syndrome and prolonged second stage of labor. Headache was the most frequent symptom, followed by neck pain. Acute medical treatments included anticoagulation, antiplatelets, and endovascular therapy. No patients received thrombolysis. The overall prognosis was good with 77.8% of patients making full clinical recovery.
UNASSIGNED: Cervical artery dissection is a rare, but an important complication of pregnancy and puerperium. Diagnosis requires a high index of suspicion. The strong association with hypertensive and connective tissue disorders requires further research.
摘要:
未经证实:颈内动脉夹层(CeAD)是造成1/5缺血性卒中的原因,但在怀孕期间或产后早期并不常见,证据来自已发表的病例报告和病例系列。
UNASSIGNED:这项前瞻性注册方案的系统评价是为了研究临床表现,这种情况的管理和预后。
未经批准:Ovid-Medline,PubMedCentral,和CINAHL在没有语言限制的情况下进行搜索。
UNASSIGNED:纳入了77例患者的57篇文章(50例病例报告和7例病例系列报告)。平均年龄为33.7岁。确定的主要可能危险因素是偏头痛,高脂血症,结缔组织疾病,先兆子痫和子痫,HELLP综合征和延长第二产程。头痛是最常见的症状,其次是颈部疼痛。急性药物治疗包括抗凝治疗,抗血小板,血管内治疗.无患者接受溶栓治疗。总体预后良好,77.8%的患者临床完全康复。
未经证实:颈部动脉夹层是一种罕见的,而是妊娠和产褥期的重要并发症。诊断需要高度怀疑。与高血压和结缔组织疾病的强烈关联需要进一步研究。
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