Case Reports in Obstetrics and Gynecology
Article number 638471
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.
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Gimovsky, A.C., Macri, C.J., Bathgate, S.L., Ross, D.E. (2012). Moyamoya disease in pregnancy: management after intracranial bypass grafting.. Case Reports in Obstetrics and Gynecology, 2012, 638471.