ReviewBMC pregnancy and childbirth2016
Vertebral artery dissection in hypertensive disorders of pregnancy: a case series and literature review.
Review in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Headache and pregnancy: a systematic review.The journal of headache and pain · 2017Pooled it
- Concurrent Reversible Cerebral Vasoconstriction Syndrome and Bilateral Vertebral Artery Dissection in the Postpartum Period: A Case Report.Clinical case reports · 2026Article
- Bilateral Vertebral Artery Dissections Associated With Postpartum Preeclampsia: A Case Report.Cureus · 2025Article
- Article
- Vertebral artery dissection in relation to pregnancy: a case series and literature review.AJOG global reports · 2023Article
- Neurological Complications in Pregnancy and the Puerperium: Methodology for a Clinical Diagnosis.Journal of clinical medicine · 2023Review
- Clinical Characteristics, Course, and Outcomes of Vertebral Artery Dissections in the Postpartum Period; a Pooled Analysis of Published Case Reports.Archives of academic emergency medicine · 2023Review
- Diagnostic potential of routine brain MRI and high-resolution, multi-contrast vessel wall imaging in the detection of internal carotid artery dissection.Frontiers in neurology · 2023Article
- Antiplatelets or anticoagulants? Secondary prevention in cervical artery dissection: an updated meta-analysis.Neurological research and practice · 2022Review
- Cervical Artery Dissection in Young Women: Risk of Recurrence During Subsequent Pregnancies.Neurology. Clinical practice · 2021Article
- Vertebral artery dissection in term pregnancy after cervical spine manipulation: a case report and review the literature.Journal of medical case reports · 2021Article
- Pregnancy-associated arterial dissections: a nationwide cohort study.European heart journal · 2020Article
- Postpartum vertebral artery dissection: case report and review of the literature.Thrombosis journal · 2020Article
- Association between Pregnancy and Cervical Artery Dissection.Annals of neurology · 2020Article
- Preeclampsia and Cerebrovascular Disease.Hypertension (Dallas, Tex. : 1979) · 2019Review
- Secondary Headaches During Pregnancy: When to Worry.Current neurology and neuroscience reports · 2019Review
- The Hypertensive Headache: a Review.Current pain and headache reports · 2019Review
- Early reappearance of disappeared ruptured small aneurysm with concomitant vertebral artery dissection.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018Article
- Neurogenic pulmonary oedema secondary to vertebral artery dissection while playing tennis.BMJ case reports · 2018Article
- Neurology Concepts: Young Women and Ischemic Stroke-Evaluation and Management in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundArterial dissection is a rare complication of pregnancy and puerperium. There have been reports of aortic, coronary and cervical artery dissection in association with preeclampsia, however, vertebral artery dissection is rarely reported particularly in the antenatal setting in the presence of a Hypertensive Disorder of Pregnancy (HDP).The general annual incidence of symptomatic spontaneous cervicocephalic arterial dissection is 0.0026 % and a data registry reported that 2.4 % of these occurred in the post-partum period. The actual incidence of vertebral artery dissection in HDP is unknown as the current literature consists of case series and reports only with most documenting adverse outcomes. Given the presence of collateral circulation, unilateral vertebral artery dissections may go unrecognised and may be more common than suspected. CASE PRESENTATION: We present a case series of four patients with vertebral artery dissection in association with HDP, two of which occurred in the antenatal setting and two in the post-partum setting. All our patients had favourable outcome with no maternal neurological deficit and live infants. Our discussion covers the proposed pathophysiology of vertebral artery dissection in HDP and the management of it.
conclusionOur case series highlights the need to consider VAD an important differential diagnosis when assessing pregnant women with headache and neck pain particularly in the context of HDP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.