ISSN: 2155-6148
+44 1223 790975
S. Shibuta
MD, PhD, Research Director, Assistant professor, Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medicine D7,
2-2, Yamadaoka, Suita-city, Osaka 565- 0871
Japan
Case Report
Two Patients with Moyamoya Disease Underwent Emergency Cesarean Delivery Resulted in Opposite Outcomes
Author(s): T. Yamashita and S. ShibutaT. Yamashita and S. Shibuta
Moyamoya disease is a rare cerebrovascular disorder, characterized by bilateral stenosis or occlusion of arteries at the base of the brain and formation of an abnormal network of collateral vessels, called moyamoya vessels, associated with cerebral hemorrhage and infarction. No appropriate method of delivery, anesthesia, and perioperative management of pregnant patients with moyamoya disease has yet been established. We report 2 cases of pregnant patients with moyamoya disease who underwent emergency cesarean delivery under general anesthesia. The postoperative courses were different, which might help us establish a protocol for the standard management of this disease. Case 1: A 33-year-old primipara was diagnosed as having moyamoya disease when she was 4-year-old. She underwent emergency cesarean delivery under general anesthesia at 37 weeks’ gestation due to early rupture of t.. View More»
DOI:
10.4172/2155-6148.1000159