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烟雾病继发产后癫痫和蛛网膜下腔出血

Postpartum Seizure and Subarachnoid Haemorrhage Secondary to Moyamoya Disease.

作者信息

Varanasi L Chitra, Brown James, Athayde Neil

机构信息

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

出版信息

Case Rep Obstet Gynecol. 2019 Dec 24;2019:6132835. doi: 10.1155/2019/6132835. eCollection 2019.

DOI:10.1155/2019/6132835
PMID:31934477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6942787/
Abstract

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.

摘要

蛛网膜下腔出血(SAH)继发的产后癫痫很少见。妊娠相关SAH的发病率正在上升,在分娩期和产后期最高。虽然文献中有产后发生SAH的病例,但很少与烟雾病相关。我们报告一例罕见病例,一名年轻女性在产后因SAH立即发作癫痫后被诊断为烟雾病。她接受了药物治疗并出院,没有任何神经功能缺损。该病例凸显了在一名原本健康的年轻女性中,癫痫和SAH如何在产后即刻发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/6942787/a6017d49a277/CRIOG2019-6132835.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/6942787/a6017d49a277/CRIOG2019-6132835.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/6942787/a6017d49a277/CRIOG2019-6132835.001.jpg

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Front Neurol. 2021 Sep 16;12:696056. doi: 10.3389/fneur.2021.696056. eCollection 2021.

本文引用的文献

1
Moyamoya Disease in Pregnancy: A 20-Year Single-Center Experience and Literature Review.妊娠期烟雾病:20年单中心经验及文献综述
World Neurosurg. 2019 Feb;122:684-691.e2. doi: 10.1016/j.wneu.2018.10.071. Epub 2018 Oct 19.
2
Moyamoya disease in pregnancy: a systematic review.妊娠合并烟雾病:系统评价。
Acta Neurochir (Wien). 2018 Sep;160(9):1711-1719. doi: 10.1007/s00701-018-3597-6. Epub 2018 Jun 19.
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Moyamoya disease in pregnancy and delivery planning: A case series and literature review.妊娠与分娩计划中的烟雾病:病例系列及文献综述
Obstet Med. 2016 Dec;9(4):177-180. doi: 10.1177/1753495X16653548. Epub 2016 Jul 28.
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Postpartum subarachnoid hemorrhage due to Moyamoya disease associated with renal artery stenosis.
J Obstet Gynaecol Res. 2009 Aug;35(4):787-9. doi: 10.1111/j.1447-0756.2009.01038.x.
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Moyamoya disease.烟雾病
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