Moyamoya disease presenting as cerebral infarction after cesarean

Background: Moyamoya disease with pregnancy is rare and might present with cerebral hemorrhage. Case: A 22-year-old primigravida suddenly developed muscular weakness in th e right arm and facial discomfort 3 days after cesarean. Computed tomograph y and cerebrovascular angiography found cerebral infarction attributable to moyamoya disease. Bilateral anastomosis of superficial temporal and middle cerebral arteries was done. Conclusion: Moyamoya disease with pregnancy might present as cerebral infar ction after cesarean. (Obstet Gynecol 1999;94:822-3. (C) 1999 by The Americ an College of Obstetricians and Gynecologists.).