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Subependymal hematoma in "Moyamoya" disease
Surgical Neurology
|February 1, 1980
Summary
A pregnant woman experienced sudden neurological symptoms, leading to the diagnosis of Moyamoya disease. Early CT scans were crucial for identifying the subependymal hematoma.
Area of Science:
- Neurology
- Radiology
- Obstetrics
Background:
- Moyamoya disease is a rare, progressive cerebrovascular disorder.
- Pregnancy can present unique challenges in diagnosing neurological conditions.
Observation:
- A 27-year-old pregnant woman presented with acute nausea, right lower extremity motor weakness, altered consciousness, and right hemiparesis.
- Cerebrospinal fluid analysis was unremarkable.
Findings:
- Computed tomography (CT) scan revealed a left subependymal hematoma.
- Angiography confirmed Moyamoya disease as the underlying diagnosis.
- The precise source of the intracranial hemorrhage remained unidentified.
Implications:
- This case highlights the importance of advanced neuroimaging, specifically CT scans, in diagnosing intracranial hemorrhages during pregnancy.
- Prompt diagnosis and management are critical for improving outcomes in pregnant patients with Moyamoya disease.