Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website http://www.jcgo.org

Case Report

Volume 8, Number 3, September 2019, pages 97-102

Postpartum Cervical Manipulation, Vertebral Artery Dissection and Reversible Cerebral Vasoconstriction: A Case Report

Figures

Figure 1.
Figure 1. Initial head computed tomography.
Figure 2.
Figure 2. Brain magnetic resonance imaging with left cerebellar infarction (arrow).
Figure 3.
Figure 3. Computed tomography angiogram with left vertebral occlusion (arrow).

Table

Table 1. Initial Laboratory Investigations
 
FBE: full blood examination; WBC: white blood cell; APTT: activated partial thromboplastin time; UEC: urea, electrolytes, creatinine; LDH: lactate dehydrogenase; LFT: liver function test; ALP: alkaline phosphatase; GGT: gamma-glutamyl transpeptidase; ALT: alanine transaminase; AST: aspartate transaminase; UPCR: urine protein/creatinine ratio.
FBE
  Hb138 g/L
  WBC10.2 × 109/L
  Neutrophils9.4 × 109/L
  Platelets293 × 109/L
Coagulation
  INR1.0
  APTT24
  Fibrinogen3.2
UEC
  Na139 mmol/L
  K4.0 mmol/L
  Cl105 mmol/L
  HCO323 mmol/L
  Urea5.7 mmol/L
  Creatinine79 µmol/L
  Uric acid371 µmol/L
  LDH236 U/L
  Haptoglobin1.58 g/L
LFT
  ALP130 U/L*
  GGT42 U/L*
  ALT40 U/L*
  AST30 U/L
  Bilirubin17 µmol/l
  Albumin36 g/L
Urine
  UPCR0.02 µg/L