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Basilar Artery Thrombosis in the Postpartum Period During COVID - 19 Pandemic: A Lethal But Avoidable Complication

Manbir Kaur1, Ankur Sharma2, Sanjiv Sharma3

  • 1Department of Anesthesia and Critical care, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.

Acta Neurologica Taiwanica
|April 26, 2022
PubMed

Insights

Delayed diagnosis of basilar artery occlusion in postpartum women, especially during COVID-19, leads to poor outcomes. Early MRI is crucial for identifying this rare but fatal condition.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Obstetrics

Background:

  • Postpartum basilar artery occlusion is a rare but life-threatening condition.
  • The COVID-19 pandemic may have exacerbated diagnostic delays due to altered clinical presentations and healthcare access.

Observation:

  • A 34-year-old female presented with occipital headache post-cesarean section, progressing to seizure and unconsciousness.
  • Basilar artery thrombosis was diagnosed posthumously, highlighting a critical delay in recognition.

Findings:

  • The case underscores the challenges in diagnosing basilar artery occlusion in the postpartum period.
  • Delayed diagnosis significantly contributed to the fatal outcome.

Implications:

  • Healthcare providers should maintain a high index of suspicion for basilar artery occlusion in postpartum women presenting with headache or neck discomfort, even without typical risk factors.
  • Prompt non-invasive radiological imaging, such as MRI, is essential for early diagnosis and intervention to improve outcomes.
Abstract

Keywords:
Basilar artery thrombosisbasilar artery occlusioncesarean section COVID-19.postpartumpregnancy

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