임신중 출혈을 유발한 Moyamoya병
A Case of Moyamoya Disease with Intracranial Hemorrage in Pregnancy
이광희, 최기환, 여형태, 이상평,
소속 상세정보
이광희 ( )
대구가톨릭대학교
최기환 ( )
대구가톨릭대학교
여형태 ( )
대구가톨릭대학교
이상평 ( )
대구가톨릭대학교
KMID : 0359819950240030312
Abstract
Intracranial Hemorrhage due to Moya-moya disease in the pregnancy women is rarely documented. We present a 31-years old woman who had intracranial hemorrhage at 34 weeks of gestation She had stuporous state (Glouscow coma scale 2-3-5) with normal
blood
pressure at emergency room. Computed tomography revealed intraventricular hemorrhage and scanty intracerebral hemorrhage at left paraventricular area. External ventricular drainage enabled her symtoms to improve gradually.
Additional MRI and angiography revealed finding of Moya-moya disease at left middle cerebral artery.
Generally. intracranial hemorrhage during pregnancy. caused by aneurysmal rupture and AVM, is treated extensively regardless of pregnancy. In Moya-moya disease intracranial hemorrhage should be removed with a simple and safe procedure as soon as
possible. And cesarean section should be considered in selected cases who has hypertention during labor.
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