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A Case Report of Anaesthesia of a Parturient with Moyamoya Disease

Samahir Mohamed

The Moyamoya (MMD) Syndrome is a progressive intracranial occlusive arteriopathy. It is mainly prevalent in east Asia and in Japan population. Anaesthesia for Cesarean section could be challenging due to the normal physiological changes during pregnancy, and it can be more challenging to keep normal haemodynamic goals if pregnancy is associated with moyamoya disease. The available evidence suggests that the mode of anaesthesia and maintenance of haemodynamic status is priority over the exact method of delivery in Moyamoya patients a special anaesthesia technique was provided to our patient to control the fluctuations in Blood pressure and thus maintaining brain perfusion in our patient. The patient had a successful anaesthesia modality without any perioperative complications and the outcome was a healthy 2.9 kgs baby.