Long-Term Risk of Recurrent Cervical Artery Dissection and Stroke After Pregnancy

Is pregnancy associated with increased risk of a composite outcome of recurrent cervical artery dissection (CeAD), ischemic stroke, intracerebral hemorrhage, or death (all causes) in women with a history of CeAD?In this multicenter, registry-based cohort study of 1013 female patients with CeAD, 11.3% became pregnant during a median follow-up time of 5.3 years. The frequency of the composite outcome did not differ significantly between women who got pregnant and those who did not.These findings suggest that pregnancy is not associated with an increased risk of subsequent events; therefore, prior CeAD does not justify advising against future pregnancy.

Corresponding Author: Sandro K. Fischer, MMed, Department of Neurology and Stroke Center, Department of Clinical Research, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland (sandro.fischer@icloud.com).

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