Internal carotid artery triple dissection and Ehlers-Danlos-like skin lesions related to pregnancy and childbirth: hormonal-implicated transient connective tissue disorder?

The association between cerebral ischemia and pregnancy has long been recognized. Furthermore, stroke related with pregnancy is characterized by significant morbidity and mortality. We report the case of a 35 years old woman presenting with acute left hemiplegia three weeks after caesarean section. Cerebral MRI demonstrated acute right frontoparietal ischemic stroke, while angiographic investigations provided acute occlusion of the proximal right internal carotid artery due to a dissection and two additional dissections of the proximal and distal contralateral internal carotid artery. The patient was not sufferi…