title: Moyamoya disease in pregnancy: management after intracranial bypass grafting.
abstract: Moyamoya disease (MD) is a chronic, progressive cerebrovascular disease distinguished by bilateral stenosis or occlusion of the arteries around the circle of Willis with resulting prominent arterial collateral circulation. We describe a pregnant woman in whom this diagnosis was confirmed by cerebral angiogram and treated with bilateral superficial temporal artery-middle cerebral artery (STA-MCA) bypass grafting prior to conception. The patient was managed with strict blood pressure monitoring and low-dose aspirin antepartum, intrapartum, and postpartum. The patient presented in spontaneous labor at term and underwent a spontaneous vaginal delivery without complications.
authors.affiliation: Department of Obstetrics and Gynecology, The George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Washington, DC 20037, USA.
authors.forename: A C
authors.initials: AC
authors.lastname: Gimovsky
authors.forename: C J
authors.initials: CJ
authors.lastname: Macri
authors.forename: S L
authors.initials: SL
authors.lastname: Bathgate
authors.forename: D E
authors.initials: DE
authors.lastname: Ross