Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting

Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting

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...

Full description

Bibliographic Details
Main Authors: A. C. Gimovsky, C. J. Macri, S. L. Bathgate, D. E. Ross
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2012/638471
id doaj-d17135a194ca486189589cae0f829fc8
record_format Article
spelling doaj-d17135a194ca486189589cae0f829fc82020-11-25T01:45:07ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922012-01-01201210.1155/2012/638471638471Moyamoya Disease in Pregnancy: Management after Intracranial Bypass GraftingA. C. Gimovsky0C. J. Macri1S. L. Bathgate2D. E. Ross3Department of Obstetrics and Gynecology, The George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Washington, DC 20037, USADepartment of Obstetrics and Gynecology, The George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Washington, DC 20037, USADepartment of Obstetrics and Gynecology, The George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Washington, DC 20037, USADepartment of Neurology, University of Mississippi Medical School, Jackson, MS 39216, USAMoyamoya 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.http://dx.doi.org/10.1155/2012/638471
collection DOAJ
language English
format Article
sources DOAJ
author A. C. Gimovsky
C. J. Macri
S. L. Bathgate
D. E. Ross
spellingShingle A. C. Gimovsky
C. J. Macri
S. L. Bathgate
D. E. Ross
Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
Case Reports in Obstetrics and Gynecology
author_facet A. C. Gimovsky
C. J. Macri
S. L. Bathgate
D. E. Ross
author_sort A. C. Gimovsky
title Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
title_short Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
title_full Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
title_fullStr Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
title_full_unstemmed Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
title_sort moyamoya disease in pregnancy: management after intracranial bypass grafting
publisher Hindawi Limited
series Case Reports in Obstetrics and Gynecology
issn 2090-6684
2090-6692
publishDate 2012-01-01
description 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.
url http://dx.doi.org/10.1155/2012/638471
work_keys_str_mv AT acgimovsky moyamoyadiseaseinpregnancymanagementafterintracranialbypassgrafting
AT cjmacri moyamoyadiseaseinpregnancymanagementafterintracranialbypassgrafting
AT slbathgate moyamoyadiseaseinpregnancymanagementafterintracranialbypassgrafting
AT deross moyamoyadiseaseinpregnancymanagementafterintracranialbypassgrafting
_version_ 1725025128887091200

Similar Items