Clinical review of 9 cases of pregnant women with Moyamoya disease / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 1152-1158, 2009.
Article
in Korean
| WPRIM
| ID: wpr-94823
ABSTRACT
To describe the clinical manifestations and to establish the management of pregnancy and delivery in pregnant patients with Moyamoya disease. We identified nine women with Moyamoya disease. Six of these patients underwent cesarean section. General anesthesia was administered to only one patient, while epidural or combined spinal-epidural anesthesia was used for the others. The patient diagnosed during pregnancy was epidural anesthesia used for vaginal delivery and two patients diagnosed during post-delivery were delivered vaginally without anesthesia. Three patients showed pregnancy-related complications intracranial hemorrhage, severe pre-eclampsia, and stroke. Five patients had term delivery, and four had pre-term delivery. The babies were healthy and had no complications. As blood pressure control is the most important factor for the pregnant women with Moyamoya disease, we recommend a spinal or epidural anesthesia in order to reduce the potential complications. Management of the patient's underlying disease is also crucial.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pre-Eclampsia
/
Blood Pressure
/
Cesarean Section
/
Stroke
/
Intracranial Hemorrhages
/
Pregnant Women
/
Anesthesia
/
Anesthesia, Epidural
/
Anesthesia, General
/
Moyamoya Disease
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2009
Type:
Article
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