caa a22 4500 445307501 CHVBK 20180317142617.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1654-3 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1654-3 Antepartum intracranial hemorrhage due to unrecognized unilateral moyamoya disease: a case report [Elektronische Daten] [Jun Kakogawa, Miyuki Sadatsuki, Norio Masuya, Hideto Gomibuchi, Hiroyasu Ohno, Tetsuo Hara, Hiroko Oda, Akio Kimura, Shigeki Minoura] Purpose: Moyamoya (meaning a "hazy puff of smoke” in Japanese) disease is a rare cerebrovascular occlusive disease. Moyamoya disease may become symptomatic for the first time during pregnancy. We report a case of antepartum intracranial hemorrhage due to unrecognized unilateral moyamoya disease, which was subsequently diagnosed as HELLP syndrome during the postpartum period. Study design: A case report of a 29-year-old Japanese primigravida who was transported to our hospital at 39weeks of gestation because of sudden loss of consciousness and left hemiplegia. On arrival, her blood pressure was 143/94mmHg with 1+ proteinuria by dipstick. Brain computed tomography revealed a right putaminal hemorrhage with intraventricular hemorrhage. The patient delivered a neonate by emergency cesarean section, and an intracranial hematoma was subsequently evacuated. Approximately 3h postoperatively, she was diagnosed with HELLP syndrome and the following were initiated: IV magnesium sulfate, antihypertensive agents, and transfusion of 10 units of platelets. Angiographic findings were consistent with unilateral moyamoya disease. Conclusions: Moyamoya disease is a rare entity that must be considered in the differential diagnosis of hemorrhagic stroke during pregnancy. It is important to perform careful monitoring and adequate management with cooperation between obstetricians and other specialists when serious complications arise. Springer-Verlag, 2010 Moyamoya disease nationallicence Preeclampsia nationallicence Intracranial hemorrhage nationallicence HELLP syndrome nationallicence Kakogawa Jun Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut Sadatsuki Miyuki Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut Masuya Norio Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut Gomibuchi Hideto Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut Ohno Hiroyasu Department of Neurosurgery, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut Hara Tetsuo Department of Neurosurgery, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut Oda Hiroko Department of Emergency Medicine and Traumatology, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut Kimura Akio Department of Emergency Medicine and Traumatology, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut Minoura Shigeki Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 19-22 0932-0067 283<19 2011 283 404 https://doi.org/10.1007/s00404-010-1654-3 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1654-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kakogawa Jun Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Sadatsuki Miyuki Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Masuya Norio Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Gomibuchi Hideto Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Ohno Hiroyasu Department of Neurosurgery, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Hara Tetsuo Department of Neurosurgery, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Oda Hiroko Department of Emergency Medicine and Traumatology, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Kimura Akio Department of Emergency Medicine and Traumatology, National Center for Global Health and Medicine, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Minoura Shigeki Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku-ku, 162-8655, Tokyo, Japan aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 19-22 0932-0067 283<19 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer