Document Detail


Consecutive pregnancy with chorea gravidarum associated with moyamoya disease.
MedLine Citation:
PMID:  19325553     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chorea gravidarum is uncommon movement disorder of pregnancy, characterized by involuntary, abrupt, non-rhythmic movements. It can be idiopathic or secondary to the underlying pathology. A 28-year-old, primigravida woman who was 8 weeks and 6 days of gestation presented with a history of involuntary choreiform movements in the left side limbs and facial twitch for 2 weeks. The symptoms started just after onset of severe emesis gravidarum. There was no meaningful medical history or family history, and she was taking no regular medication. Magnetic resonance imaging of the brain revealed moyamoya disease. The symptoms, as well as the hyperemesis gravidarum, improved with gestational age; however, they were sustained up to 30 weeks of gestation. She delivered 2.61 kg, healthy male neonate at 40 weeks' pregnancy by vaginal delivery under epidural analgesia. After 3 years later, she got pregnant again, and delivered at 41 weeks of pregnancy without complication. She experienced similar but milder symptoms to that of the first pregnancy until the late second trimester. After the delivery, full evaluation was lost due to her refusal. In this report, we present the case of a patient with chorea gravidarum in which moyamoya disease acts as an etiologic factor and a review of literature with management proposal.
Authors:
A Kim; C H Choi; C H Han; J C Shin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  29     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-27     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  317-9     Citation Subset:  IM    
Affiliation:
Fertility Center of CHA General Hospital, Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Angiography
Chorea Gravidarum / diagnosis,  etiology*
Female
Follow-Up Studies
Humans
Hyperemesis Gravidarum / diagnosis,  etiology
Infant, Newborn
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Moyamoya Disease / diagnosis*
Pregnancy
Pregnancy Trimester, First
Recurrence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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