Moyamoya Disease in Pregnancy : Management after Intracranial Bypass Grafting

Abstract EN

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.