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Kleindorfer, D.O., Towfighi, A., Chaturvedi, S., Cockroft, K.M., Gutierrez, J., Lombardi-Hill, D., Kamel, H., Kernan, W.N., Kittner, S.J., Leira, E.C., Lennon, O., Meschia, J.F., Nguyen, T.N., Pollak, P.M., Santangeli, P., Sharrief, A.Z., Smith, S.C., Turan, T.N. and Williams, L.S. (2021) 2021 Guideline for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack: A Guideline from the American Heart Association/American Stroke Association. Stroke, 52, e364-e467.
https://doi.org/10.1161/STR.0000000000000375

has been cited by the following article:

• TITLE: Anesthetic and Obstetric Considerations of Moyamoya Disease in Pregnancy after Intracranial Bypass Grafting: A Case Report and Literature Review

  AUTHORS: Dennerd Ovando Jr., Arit Ntekim, Ming Xiong

  KEYWORDS: Moyamoya Disease, Pregnancy, Transient Ischemic Attack, Anesthesia

  JOURNAL NAME: Open Journal of Anesthesiology, Vol.13 No.5, May 15, 2023

  ABSTRACT: Moyamoya disease (MD) is a chronic idiopathic vasculopathy characterized by bilateral stenosis of the distal internal carotid arteries (ICA’s) with subsequent formation of abnormal collateral vessels. The underlying etiology is unknown [1]. Patients with MD are predisposed to intracranial hemorrhage or cerebral ischemia given the fragile nature of the collateral circulation. Although there is no curative treatment for MD, there are surgical palliative procedures that can augment cerebral blood flow to areas of impaired perfusion and circumvent the abnormal collateral circulation. Medical management exists for patients who are not surgical candidates. Because the incidence of MD peaks during the second and third decades of life, it can potentially affect women of childbearing age [2]. However, the optimal anesthetic and obstetric management of the parturient with MD remains controversial. We present a case of a primigravida with a history of MD who underwent intracranial bypass grafting prior to conception and subsequently had a successful cesarean delivery that was complicated by transient ischemic attacks (TIA) in the postpartum period.