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Postpartum headache due to spontaneous cervical artery dissection
Paolo Borelli1, Filippo Baldacci, Angelo Nuti
1Department of Neurosciences, University of Pisa, Pisa, Italy.
Postpartum headache can signal serious cerebrovascular events. Spontaneous cervical artery dissection is a rare cause, with new cases presenting migraine-like symptoms, highlighting the need for awareness.
Area of Science:
- Neurology
- Vascular Neurology
- Obstetrics
Background:
- Postpartum headache is a common concern, sometimes linked to serious cerebrovascular accidents.
- Spontaneous cervical artery dissection (SCAD) is a rare but recognized cause of headache in the postpartum period.
Observation:
- This report details two new cases of SCAD presenting as postpartum headache.
- One case uniquely exhibited migraine with aura-like symptoms, a presentation not previously documented in SCAD literature.
Findings:
- The study expands the reported cases of postpartum SCAD from 19 to 21.
- It provides the first description of SCAD manifesting with migraine with aura-like neurological deficits.
Implications:
- Increased clinical suspicion for SCAD is warranted in postpartum women with headache, especially those with neurological symptoms.
- Further research into the etiopathological mechanisms of postpartum SCAD may improve diagnostic and therapeutic strategies.
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