Ercin Hatice S, Ozer Seyma
Family Medicine, Tuzlukcu State Hospital, Konya, TUR.
Family Medicine, Umraniye Research and Training Hospital, Istanbul, TUR.
Cureus. 2025 Jun 20;17(6):e86405. doi: 10.7759/cureus.86405. eCollection 2025 Jun.
Vertebral artery occlusion is a condition that can reduce blood flow to the vertebrobasilar system, which may cause various neurological symptoms. We report the case of a 34-year-old female patient who had a cesarean delivery under spinal anesthesia 19 days before presentation. She had no identifiable risk factors. The patient presented to the Family Health Center with complaints of dizziness. She exhibited numbness on the right side of the face, right arm, and right side of the tongue, as well as weakness in her right arm and leg, and was subsequently referred to the emergency department via ambulance. Cranial diffusion MRI showed millimetric diffusion restriction in the right cerebellar and right bulbar regions. Brain CT angiography also showed an occlusion in the V3 and V4 segments of the right vertebral artery. Following medical treatment, the patient's symptoms improved, and she was discharged with a plan for long-term follow-up. This case underscores the need to consider posterior circulation stroke even in young, low-risk postpartum patients.
椎动脉闭塞是一种可减少椎基底动脉系统血流的病症，这可能会导致各种神经症状。我们报告一例34岁女性患者，该患者在就诊前19天接受了脊髓麻醉下的剖宫产手术。她没有可识别的危险因素。该患者因头晕症状前往家庭健康中心就诊。她表现出右侧面部、右臂和右侧舌头麻木，以及右臂和右腿无力，随后通过救护车被转诊至急诊科。头颅弥散磁共振成像显示右侧小脑和右侧延髓区域有毫米级的弥散受限。脑部CT血管造影也显示右侧椎动脉V3和V4段闭塞。经过药物治疗，患者症状改善，并出院进行长期随访。该病例强调，即使是年轻、低风险的产后患者，也需要考虑后循环卒中。
