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Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review

Iulia-Adela Drăghici

Iulia-Adela Drăghici

Targu Mures, Romania
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Drăghici, Iulia-Adela
, 
Lucian Marginean

Lucian Marginean

Department of Interventional Radiology, Emergency County Hospital Targu MuresTargu Mures, Romania
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Marginean, Lucian
, 
Rares-Cristian Filep

Rares-Cristian Filep

Department of Interventional Radiology, Emergency County Hospital Targu MuresTargu Mures, Romania
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Filep, Rares-Cristian
, 
Zoltan Bajko

Zoltan Bajko

Department of Neurology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu MuresTargu Mures, Romania
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Bajko, Zoltan
, 
Laura Barcutean

Laura Barcutean

Department of Neurology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu MuresTargu Mures, Romania
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Barcutean, Laura
, 
Teodora Aldea

Teodora Aldea

Targu Mures, Romania
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Aldea, Teodora
 and 
Rodica Balasa

Rodica Balasa

Department of Neurology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu MuresTargu Mures, Romania
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Balasa, Rodica
  
Nov 06, 2021
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Article Category: Case report
Published Online: Nov 06, 2021
Page range: 294 - 301
Received: Jan 17, 2021
Accepted: May 16, 2021
DOI: https://doi.org/10.2478/jccm-2021-0015
Keywords
© 2021 Iulia-Adela Drăghici, Lucian Marginean, Rares-Cristian Filep, Zoltan Bajko, Laura Barcutean, Teodora Aldea, Rodica Balasa, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Fig. 1

Digital subtraction angiography. A. Long, eccentric, irregular stenosis (string sign) at the distal V2 segment of the right vertebral artery; B. Basilar artery occlusion 8 mm from the origin; C. Complete recanalization of the basilar artery after thrombectomy
Digital subtraction angiography. A. Long, eccentric, irregular stenosis (string sign) at the distal V2 segment of the right vertebral artery; B. Basilar artery occlusion 8 mm from the origin; C. Complete recanalization of the basilar artery after thrombectomy

Fig. 2

A. Axial FLAIR weighted; B. Axial Diffusion-weighted MRI images showing bilateral, predominantly left-sided pontine infarction.
A. Axial FLAIR weighted; B. Axial Diffusion-weighted MRI images showing bilateral, predominantly left-sided pontine infarction.

The primary stroke timelines in the patient’s case history

The main events in the patient’s stroke history Time
the appearance of the first symptoms: cervical pain, headache, dizziness 19:00
the patient was last seen without neurological deficit 23:30
the patient was found unconscious with difficult respiration 24:00
presentation to the emergency unit 01:48
emergency laboratory workup 01:55
cerebral CT scan 01:56
cervico-cerebral angio CT scan 02:24
groin picture 03:47
recanalization 04:50
the patient was transferred to the intensive care unit 05:50
Language:
English
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4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Internal Medicine, Internal Medicine, other, Surgery, Surgery, other, Anaesthesiology, Emergency Medicine and Intensive-Care Medicine
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