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Postpartum subarachnoid hemorrhage due to Moyamoya disease associated with renal artery stenosis
Author(s) -
Matsumoto Yasuyo,
Asada Masahiro,
Mukubou Masaaki
Publication year - 2009
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2009.01038.x
Subject(s) - medicine , moyamoya disease , subarachnoid hemorrhage , stenosis , pregnancy , preeclampsia , postpartum period , angiography , renal artery stenosis , renal artery , surgery , radiology , cardiology , kidney , genetics , biology
Moyamoya disease is a cerebrovascular stenotic or occlusive disease predominantly seen in Asian countries. Sometimes there are coexisting renal artery lesions in Moyamoya disease patients. A 32‐year‐old multipara had a cesarean section at 33 gestational weeks due to preeclampsia. One month later, she developed subarachnoid hemorrhage and angiography demonstrated Moyamoya vessels with renal artery stenosis. After conservative therapy, the patient was discharged without any deficits. Our conclusion is that patients with Moyamoya disease carry a risk of cerebrovascular accident during pregnancy and postpartum. In this case, we did not diagnose Moyamoya disease with renal artery stenosis until the patient developed subarachnoid hemorrhage. It is very important to make a careful differential diagnosis of hypertension during pregnancy and the postpartum period.