Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting. (25th March 2012)

• Record Type: Journal Article
• Authors: Gimovsky, A. C.; Macri, C. J.; Bathgate, S. L.; Ross, D. E.
• Other Names: Ezra Y. Academic Editor.; Murta E. Academic Editor.; Rai R. Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2012(2012)
• Publication Date: 2012-03-25
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2012/638471
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : Moyamoya disease (MD) is a chronic, progressive cerebrovascular disease distinguished by bilateral stenosis or occlusion of the arteries around the circle of Willis with resulting prominent arterial collateral circulation. We describe a pregnant woman in whom this diagnosis was confirmed by cerebral angiogram and treated with bilateral superficial temporal artery-middle cerebral artery (STA-MCA) bypass grafting prior to conception. The patient was managed with strict blood pressure monitoring and low-dose aspirin antepartum, intrapartum, and postpartum. The patient presented in spontaneous labor at term and underwent a spontaneous vaginal delivery without complications.