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Case report
Acute ischemic stroke in a child due to basilar artery occlusion treated successfully with a stent retriever
  1. Luis Savastano1,
  2. Joseph J Gemmete1,2,
  3. Aditya S Pandey1,2,
  4. Christopher Roark1,
  5. Neeraj Chaudhary1,2
  1. 1Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA
  2. 2Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Joseph J Gemmete, Departments of Radiology and Neurosurgery, University of Michigan Health System, 1500 E Medical Center Dr, UH B1 D328, Ann Arbor, MI 48109-5030, USA; gemmete{at}med.umich.edu

Abstract

Ischemic strokes in childhood are rare. Thrombolytic therapy with intravenous (IV) tissue plasminogen activator (tPA) has been the main intervention for the management of pediatric stroke patients, but safety data are lacking and efficacy has been questioned. Recently, successful endovascular treatments for acute ischemic stroke in children have been reported with increasing frequency, suggesting that mechanical thrombectomy can be a safe and effective treatment. We present the case of a 22-month-old child with acute ischemic stroke due to basilar artery occlusion that was successfully treated with a stent retriever.

  • Pediatrics
  • Stroke

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