ArticleAnnals of neurology2020
Association between Pregnancy and Cervical Artery Dissection.
Article in Annals of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk factors for cervical artery dissection: a systematic review with meta-analysis.Stroke and vascular neurology · 2026Pooled it
- Acute Limb Ischemia During Pregnancy: A Case Report and Narrative Review of the Literature.Journal of clinical medicine · 2026Article
- Association Between Autoimmune Thyroiditis and Cervical Artery Dissection: A Retrospective Cohort Study.Health science reports · 2026Article
- Bilateral Vertebral Artery Dissections Associated With Postpartum Preeclampsia: A Case Report.Cureus · 2025Article
- Recognition of Vertebral Artery Dissection in a High-Risk Postpartum Patient by a Chiropractic Physician.Cureus · 2025Article
- Long-Term Risk of Recurrent Cervical Artery Dissection and Stroke After Pregnancy.JAMA network open · 2025Article
- Sex differences in the epidemiology of spontaneous and traumatic cervical artery dissections.Stroke and vascular neurology · 2025Article
- Association between combined oral contraceptive prescription and cervical artery dissection: A retrospective cohort study.Thrombosis research · 2025Article
- Systemic lupus erythematosus is associated with an increased risk of cervical artery dissection.Scientific reports · 2025Article
- Sex Differences in Clinical Presentation of Women and Men Evaluated at a Comprehensive Stroke Center for Suspected Stroke.Cerebrovascular diseases extra · 2025Article
- Vertebral artery dissection in relation to pregnancy: a case series and literature review.AJOG global reports · 2023Article
- Unraveling the Links between Chronic Inflammation, Autoimmunity, and Spontaneous Cervicocranial Arterial Dissection.Journal of clinical medicine · 2023Review
- Stroke in Women: A Review Focused on Epidemiology, Risk Factors, and Outcomes.Journal of stroke · 2023Review
- Article
- Pregnancy and stroke risk in women.Neurobiology of disease · 2022Article
- The Impact of Sex and Gender on Stroke.Circulation research · 2022Review
- Case Report: Spontaneous Postpartum Quadruple Cervicocephalic Arterial Dissection With a HeterozygousFrontiers in neurology · 2022Article
- Cervical Artery Dissections: Etiopathogenesis and Management.Vascular health and risk management · 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
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveWe wanted to determine whether pregnancy is associated with cervical artery dissection.
methodsWe performed a case-control study using claims data from all nonfederal emergency departments and acute care hospitals in New York and Florida between 2005 and 2015. Cases were women 12-42 years of age hospitalized with cervical artery dissection, defined using validated diagnosis codes for carotid/vertebral artery dissection. Controls were women 12-42 years of age with a primary diagnosis of renal colic. Cases and controls were matched 1:1 on age, race, insurance, income, state, and visit year. The exposure variable was pregnancy, defined as labor and delivery within 90 days before or 6 months after the index visit. Logistic regression was used to compare the odds of pregnancy between cases and controls. We performed a secondary cohort-crossover study comparing the risk of cervical artery dissection during pregnancy versus the same time period 1 year later.
resultsPregnancy was twice as common among 826 women with cervical artery dissection compared with the 826 matched controls with renal colic (odds ratio, 2.5; 95% confidence interval [CI], 1.3-4.7). In our secondary analysis, pregnancy was associated with a higher risk of cervical artery dissection (incidence rate ratio [IRR], 2.2; 95% CI, 1.3-3.5), with the heightened risk limited to the postpartum period (IRR, 5.5; 95% CI, 2.6-11.7).
interpretationPregnancy, specifically the postpartum period, was associated with hospitalization for cervical artery dissection. Although these findings might in part reflect ascertainment bias, our results suggest that arterial dissection is one mechanism by which pregnancy can lead to stroke. ANN NEUROL 2020;88:596-602.
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