Postpartum intracerebral hemorrhage unveiling moyamoya disease: A rare case report

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.