A case of intracranial hemorrhage during pregnancy associated with the Moyamoya disease.

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The Moyamoya Disease is a cerebrovascular anomaly of unknown cause, first discovered in Japan about 1955.Since only few cases have been reported so far about the complication of this disease during pregnancy, its management during pregnancy and delivery has not been well established.The present case was a 28-year-old woman with gravida 1, para 0, and the patient was hospitalized in the 35th week of prengancy due to toxemia.On the 17th day of hospitalization, the patient developed a severe headache while sleeping at night, and immediately lost consciousness completely.A CT scan revealed bilateral intraventricular hemorrhage, and a hematoma was surgically removed, and subsequently a 2700g baby girl was delivered by Cesarean section with the Apgar score of 7 points.Afterwards, the patient fell into a vegetable, comatose state, and 11 months later, intracranial hemorrhage occurred again, and at that time the diagnosis of Moyamoya disease was made by the carotid angiography.The patient died on the next day.
一般社団法人国立医療学会の論文