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Case Report
Postpartum intracerebral hemorrhage unveiling moyamoya disease: A rare case report
1 Resident, Radiology Department, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco
2 Professor, Radiology Department, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco
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Merbouh Sahar
Resident, Radiology Department, Ibn Sina University Hospital, Mohamed V University, Rabat,
Morocco
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Article ID: 100123Z06MS2023
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Sahar M, Ilyass B, Cherraqi A, Zahra LF. Postpartum intracerebral hemorrhage unveiling moyamoya disease: A rare case report. Case Rep Int 2023;12(2):21–25.ABSTRACT
Moyamoya disease (MMD) is an uncommon cerebrovascular disorder characterized by abnormal angiogenesis leading to progressive stenosis of the supraclinoid internal carotid artery. The resultant vascular pathology causes the formation of a compensatory collateral network, often visualized as a characteristic “puff of smoke” appearance on imaging. This report aims to present the case of a 36-year-old female patient who presented with altered consciousness and left hemiparesis two weeks after undergoing a cesarean section delivery, with moyamoya disease identified as the underlying cause of the stroke. The objective is to underscore the importance of considering moyamoya disease as a potential etiology in postpartum stroke cases and emphasize the significance of early diagnosis and appropriate management to improve patient outcomes. Timely imaging and appropriate treatment, such as revascularization surgery, can help prevent further neurological deterioration and potentially improve long-term prognosis for these patients.
Keywords: Angiography, Intracerebral hemorrhage, Moyamoya disease, Puff of smoke, Stroke
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Acknowledgments
The authors thank Professor Fatima Zahra Laamrani insight vis-à-vis the case.
Author ContributionsMerbouh Sahar - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Bourekba Ilyass - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Amine Cherraqi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Laamrani Fatima Zahra - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Merbouh Sahar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
