Cerebrovascular events during pregnancy and puerperium resulting from preexisting moyamoya disease: determining the risk of ischemic events based on hemodynamic status assessment using brain perfusion single-photon emission computed tomography

• Published in: World neurosurgery Vol. 90; pp. 66 - 75
• Main Authors: Lee, Si Un, M.D, Chung, Young Seob, M.D, Oh, Chang Wan, M.D, Kwon, O-Ki, M.D, Bang, Jae Seung, M.D, Hwang, Gyojun, M.D, Kim, Tackeun, M.D, Ahn, Seong Yeol, M.D
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2016
• Subjects: Adult; Causality; Cerebral vascular reserve capacity; Cerebrovascular Disorders - diagnosis; Cerebrovascular Disorders - epidemiology; Cerebrovascular events; Comorbidity; Female; Humans; Incidence; Moyamoya disease; Moyamoya Disease - diagnostic imaging; Moyamoya Disease - epidemiology; Neurosurgery; Perfusion Imaging - statistics & numerical data; Postpartum Period; Pregnancy; Pregnancy Complications - diagnostic imaging; Pregnancy Complications - epidemiology; Puerperium; Reproducibility of Results; Republic of Korea - epidemiology; Retrospective Studies; Risk Factors; Sensitivity and Specificity; Tomography, Emission-Computed, Single-Photon - statistics & numerical data; Young Adult; STA; trans-femoral cerebral angiography; CBF; odds ratio; SPECT; intraventricular hemorrhage; encephaloduroarteriosynangiosis; cerebral vascular reserve capacity; puerperium; moyamoya disease; OR; MMD; encephalogaleosynangiosis; posterior cerebral artery; pregnancy; superficial temporal artery; MCA; transient ischemic attack; TIA; middle cerebral artery; mRS; PCA; EGS; EDAS; CVE; modified Rankin scale; TFCA; cerebral blood flow; cerebrovascular events; IVH; CVRC; single-photon emission computed tomography; Pregnancy; Cerebrovascular events; Moyamoya disease; Puerperium; Cerebral vascular reserve capacity
• ISSN: 1878-8750; 1878-8769
• DOI: 10.1016/j.wneu.2016.02.062

Highlights • Moyamoya disease (MMD) can cause cerebrovascular events during and after pregnancy. • Stress SPECT may predict cerebrovascular events during pregnancy and puerperium. • Bypass surgery before pregnancy in MMD patients may facilitate normal pregnancy.