Occlusive disease of the internal carotid arteries with vascular collaterals (Moyamoya disease) in pregnancy
Occlusive disease of the internal carotid arteries with vascular collaterals (Moyamoya disease) in pregnancy
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妊娠期颈内动脉伴血管闭塞性疾病（烟雾病）
DOI：
10.1007/bf02133862
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
K. Kinoshita
中科院分区：
文献类型：
--
作者：
I. Miyakawa;Huei Chan Lee;Y. Haruyama;N. Mori;T. Mikura;K. Kinoshita
报告1例29岁孕妇颈内动脉闭塞性病变伴侧支血管网形成（烟雾病）。因烟雾病及妊娠毒血症，于孕38周行剖宫产术。患者在剖宫产术后7个月发生第二次颅内出血。为防止进一步颅内出血，进行了脑硬脑膜动脉血管连接术（EDAS），目前她情况良好。由于颅内出血有时与压力下降有关，并且由于过度通气引起的脑缺血和高血压是由活跃的劳动引起的，因此对于患有烟雾病的孕妇，可以推荐选择性剖宫产。
A 29 year-old pregnant woman with occlusive disease of the internal carotid arteries and formation of collateral networks (moyamoya disease) is reported. Because of moyamoya disease and toxemia of pregnancy, cesarean section was performed at the 38th week of pregnancy. The patient had a second intracranial hemorrhage 7 months after cesarean section. Encephalo-duro-arterio synangiosis (EDAS) was performed for the prevention of further intracranial hemorrhage and at present she is well. Since intracranial hemorrhage is sometimes associated with bearing down and since hyperventilation-induced cerebral ischemia and hypertension are provoked by active labor, elective cesarean section may be recommended for pregnant women with moyamoya disease.