This case report describes a previously unreported association between childbirth and internal carotid artery dissection leading to cerebral infarction.
Clinicians should consider carotid dissection in postpartum stroke; this case leaves the association open for confirmation.
A 44-year-old woman developed a left cerebral infarction secondary to internal carotid artery dissection 6 days after childbirth. A cesarean section had been carried out after 14 hours of strenuous unsuccessful labor. Although in the past some authors have implicated oral contraceptives as a cause for carotid dissection, carotid dissection associated with childbirth has not been previously described.
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Wiebers et al. (1985) studied this question.
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