%0 Journal Article
%T Moyamoya Disease in Pregnancy: Management after Intracranial Bypass Grafting
%A A. C. Gimovsky
%A C. J. Macri
%A S. L. Bathgate
%A D. E. Ross
%J Case Reports in Obstetrics and Gynecology
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/638471
%X 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.
%U http://www.hindawi.com/crim/obgyn/2012/638471/