Moyamoya-disease-related ischemic stroke in the postpartum period

Kei Miyakoshi, Misugi Matsuoka, Daisuke Yasutomi, Mamoru Tanaka, Kazumi Yakubo, Tatsuro Fukuiya, Yasunori Yoshimura

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Stroke during pregnancy or the puerperium is an extremely rare yet serious cause of perinatal morbidity and mortality. Moyamoya disease, a cerebrovascular occlusive pathology with a female predominance, may become symptomatic for the first time in association with pregnancy. A 36-year-old woman with postpartum pre-eclampsia suddenly developed hemiparesis in the left arm with dysarthria after the initiation of antihypertensive measures. Cranial magnetic resonance imaging and angiography revealed acute ischemic lesions in the right hemisphere along with the steno-occlusive lesions of bilateral terminal portions of the internal carotid artery, indicating Moyamoya disease. With anti-platelet medication, the patient recovered gradually and was diagnosed as having Moyamoya disease using conventional angiography 3 months postpartum. In this case, the fluctuations in blood pressure in association with pre-eclampsia appear to have exacerbated the clinical symptoms of Moyamoya disease. As such, Moyamoya disease should be considered as an underlying disease of ischemic stroke associated with pregnancy.

Original languageEnglish
Pages (from-to)974-977
Number of pages4
JournalJournal of Obstetrics and Gynaecology Research
Volume35
Issue number5
DOIs
Publication statusPublished - 2009 Oct

Fingerprint

Moyamoya Disease
Postpartum Period
Stroke
Pre-Eclampsia
Pregnancy
Dysarthria
Magnetic Resonance Angiography
Perinatal Mortality
Internal Carotid Artery
Paresis
Antihypertensive Agents
Angiography
Blood Platelets
Magnetic Resonance Imaging
Pathology
Blood Pressure
Morbidity

Keywords

  • Ischemic stroke
  • Moyamoya disease
  • Pre-eclampsia
  • Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Moyamoya-disease-related ischemic stroke in the postpartum period. / Miyakoshi, Kei; Matsuoka, Misugi; Yasutomi, Daisuke; Tanaka, Mamoru; Yakubo, Kazumi; Fukuiya, Tatsuro; Yoshimura, Yasunori.

In: Journal of Obstetrics and Gynaecology Research, Vol. 35, No. 5, 10.2009, p. 974-977.

Research output: Contribution to journalArticle

Miyakoshi, Kei ; Matsuoka, Misugi ; Yasutomi, Daisuke ; Tanaka, Mamoru ; Yakubo, Kazumi ; Fukuiya, Tatsuro ; Yoshimura, Yasunori. / Moyamoya-disease-related ischemic stroke in the postpartum period. In: Journal of Obstetrics and Gynaecology Research. 2009 ; Vol. 35, No. 5. pp. 974-977.
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