Postpartum Seizure and Subarachnoid Haemorrhage Secondary to Moyamoya Disease

L Chitra Varanasi1, James Brown1, Neil Athayde1

  • 1Department of Women's and Newborn Health, Westmead Hospital, Cnr Hawkesbury and Darcy Rd, Westmead, NSW 2145, Australia.

Postpartum seizures secondary to subarachnoid haemorrhage (SAH) are rare. The incidence of pregnancy-related SAH is increasing and is highest during the delivery and postpartum periods. While there have been cases in the literature of SAH occurring postpartum, very few are associated with Moyamoya disease. We present a rare case of a young woman diagnosed with Moyamoya disease following immediate postpartum seizures secondary to a SAH. She was medically managed and discharged without any neurological deficits. This case highlights how seizures and SAH may develop in the immediate postpartum period in an otherwise healthy young woman.

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