Intracerebral hemorrhage and Moyamoya disease in pregnancy.
Can J Anaesth
; 47(10): 996-1000, 2000 Oct.
Article
em En
| MEDLINE
| ID: mdl-11032277
ABSTRACT
PURPOSE:
To present a case of Moyamoya disease with intracranial hemorrhage complicating pregnancy. CLINICAL FEATURES A 36-yr-old parturient at 34 wk gestation presented with left hemiparesis, headache, nausea and vomiting. Subsequent deterioration in level of consciousness and the development of a dilated right pupil necessitated immediate intubation. Urgent non-contrast CT scan revealed a large right intracerebral hematoma with transtentorial herniation. The patient underwent simultaneous emergency Cesarean section and craniotomy. A postoperative angiogram revealed findings consistent with Moyamoya disease. The neonate survived but the patient developed severe cerebral edema and died eleven days postoperatively.CONCLUSION:
Adult patients with Moyamoya disease often present with intracranial hemorrhage which poses unique anesthetic challenges. We report a case of intracerebral hemorrhage during pregnancy, which is known to be associated with high morbidity and mortality. The anesthetic techniques are reviewed and discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Hemorragia Cerebral
/
Anestesia Obstétrica
/
Doença de Moyamoya
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Can J Anaesth
Assunto da revista:
ANESTESIOLOGIA
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Canadá