Table 1.
Clinical feature and treatment of patients with postpartum cerebral arterial dissections.
| CN | RN | Age (yr) | Time from delivery (d) | Symptoms | Delivery mode | Arteries involved | Treatment | Prognosis |
| 1 | [43] | 44 | 6 | Headache and right mild hemiplegia | Prolonged second stage of labor and cesarean section | LICA | No | Mild right upper limb weakness and aphasia |
| 2 | [26] | 36 | 14 | Headache and right mild hemiplegia | Cesarean section | LICA | Anticoagulation | Not reported |
| 3 | 34 | 6 | Headache and aphasia | Natural labor | LICA | Anticoagulation | Not reported | |
| 4 | 26 | 9 | Right retroorbital pain and dysarthria | Natural labor and prolonged second stage of labor | RICA | Anticoagulation | Not reported | |
| 5 | 34 | 14 | Headache, neck pain and right facial numbness Left weakness, dizziness, and right Horner syndrome | Natural labor | RVA | Anticoagulation | Complete recovery | |
| 6 | [35] | 38 | 5 | Headache | Natural labor | RICA | Anticoagulation | Complete recovery |
| 7 | [34] | 37 | 9 | Headache, Horner syndrome and aphasia | Prolonged second stage of labor and cesarean section | BICAs+BVAs | Anticoagulation | Not reported |
| 8 | [18] | 35 | 9 | Headache and neck pain | Cesarean section | RICA | Anticoagulation | Complete recovery |
| 9 | [31] | 32 | 7 | Headache and Horner syndrome | Prolonged second stage of labor and natural labor | RICA | Anticoagulation | Complete recovery |
| 10 | [30] | 32 | 12 | Headache and right mild hemiplegia | Cesarean section | RICA+BVAs | Antiplatelet | Not reported |
| 11 | [42] | 36 | 4 | Headache | Natural labor and 20 min for second stage of labor | LICA | Anticoagulation | Complete recovery |
| 12 | [19] | 41 | 18 | Headache and transient ischemic attack | Not reported | LVA | Not reported | Complete recovery |
| 13 | 35 | 5 | Headache and cerebral infarction | Not reported | RVA | Not reported | Complete recovery | |
| 14 | 38 | 8 | Headache and Horner syndrome | Not reported | LICA | Not reported | Complete recovery | |
| 15 | 27 | 11 | Headache and neck pain | Not reported | RICA | Not reported | Complete recovery | |
| 16 | 38 | 7 | Headache | Not reported | RVA | Not reported | Complete recovery | |
| 17 | 34 | 7 | Headache and neck pain | Not reported | RVA | Not reported | Complete recovery | |
| 18 | [37] | 28 | 10 | Headache and left mild hemiplegia | Prolonged second stage of labor and cesarean section | RICA | Not reported | Not reported |
| 19 | [27] | 35 | 21 | Left hemiplegia | Not reported | BICAs | Not reported | Complete recovery |
| 20 | [23] | 24 | 14 | Headache, right upper limb weakness and facial paralysis | Cesarean section | LICA | Anticoagulation | Complete recovery |
| 21 | [39] | 28 | 2 | Headache | Not reported | LVA | Antiplatelet+anticoagulation | Complete recovery |
| 22 | [17] | 41 | 6 | Headache and subarachnoid hemorrhage | Cesarean section | RICA | Antiplatelet+anticoagulation | Complete recovery |
| 23 | [16] | 43 | 11 | Headache, transient aphasia and mild hemiplegia | Cesarean section | LICA | Antiplatelet | Complete recovery |
| 24 | 37 | 15 | Headache | Cesarean section | RICA | Antiplatelet | Complete recovery | |
| 25 | [36] | 31 | 5 | Neck pain | Cesarean section | BICAs+BVAs | Anticoagulation | Complete recovery |
| 26 | [41] | 32 | 7 | Headache and transient sensory disturbance of left lower limb | Natural labor | RICA | Anticoagulation | Complete recovery |
| 27 | [24] | 37 | 3 | Headache and neck pain | Natural labor | BVAs | Anticoagulation | Complete recovery |
| 28 | [20] | 32 | 14 | Weakness on 1 side, headache, blurred vision | Natural labor and 5 min for the second stage of labor | BICAs | Antiplatelet+anticoagulation | Complete recovery |
| 29 | [63] | 39 | 10 | Headache | Cesarean section | BICAs+BVAs | Anticoagulation | Complete recovery |
| 30 | [29] | 30 | 5 | Headache, neck pain, and blurred vision | Cesarean section | BICAs | Anticoagulation | Complete recovery |
| 31 | [21] | 27 | 12 | Headache | Not reported | LICA | Anticoagulation | Slight inertia |
| 32 | [40] | 31 | 7 | Headache | Natural labor | BICAs+BVAs | Anticoagulation | Not reported |
| 33 | [22] | 35 | 0 | Not reported | Natural labor | BICAs | Anticoagulation | Not reported |
| 34 | [6] | 39 | 11 | Right blepharoptosis, headache, and neck pain | Natural labor and 8 min for the second stage of labor | BICAs+BVAs | Anticoagulation | Complete recovery |
| 35 | 29 | 53 | Headache, right hemiplegia, loss of sensation and aphasia | Natural labor and 14 min for the second stage of labor | LICA+BVAs | Antiplatelet+anticoagulation+stenting | Complete recovery | |
| 36 | 32 | 0 | Headache and neck pain | Natural labor and 4 h for the second stage of labor | RICA | Antiplatelet +anticoagulation | Left upper limb weakness and facial paralysis | |
| 37 | 39 | 24 | Headache, neck pain, blurred vision, and diplopia | Natural labor and 43 min for the second stage of labor | BVAs | Antiplatelet | Complete recovery | |
| 38 | 28 | 4 | Headache, neck pain, and weakness of both legs | Cesarean section | LICA | Antiplatelet+anticoagualtion+stenting | Complete recovery | |
| 39 | [32] | 36 | 10 | Headache | Cesarean section | BVAs | Antiplatelet | Mild right blepharoptosis and facial hypoesthesia |
| 40 | [25] | 35 | 21 | Dizziness | Not reported | RVA | Anticoagulation | Mild right ataxia |
| 41 | [33] | 35 | 5 | Headache | Not reported | RICA | No | Complete recovery |
| 42 | [28] | 29 | 14 | Left hemiplegia | Cesarean section | BICAs | Not reported | Not reported |
| 43 | [38] | 30 | 6 | Headache | Not reported | RVA | Antiplatelet+anticoagulation | Complete recovery |
| 44 | 30 | 6 | Left neck pain | Not reported | LVA | Antiplatelet | Complete recovery | |
| 45 | Ours | 30 | 45 | Keck pain and left lower limb weakness | Cesarean section | BICAs+BVAs | Antiplatelet | Complete recovery |
BICA = bilateral internal carotid artery, BVAs = bilateral vertebral arteries, CN = case number, LICA = left internal carotid artery, LVA = left vertebral artery, RICA = right internal carotid artery, RN = reference number, RVA = right vertebral artery.