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Case report
Republished: Late recanalization of basilar artery occlusion in a previously healthy 17-month-old child
  1. D Andrew Wilkinson1,
  2. Aditya S Pandey1,
  3. Hugh J Garton1,
  4. Luis Savastano1,
  5. Julius Griauzde2,
  6. Neeraj Chaudhary2,
  7. Joseph J Gemmete1,2
  1. 1 Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA
  2. 2 Department of Radiology, University of Michigan, Ann Arbor, Michigan, USA
  1. Correspondence to D Andrew Wilkinson, Department of Neurosurgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA; dawilki{at}


Endovascular treatment of acute ischemic stroke in children is increasingly being reported, although the time window for intervention is unclear. We describe a previously healthy 17-month-old child who presented with vertebral artery thrombosis and cerebellar stroke requiring posterior fossa decompression. She later progressed to basilar artery thrombosis treated with mechanical thrombectomy 50 hours after clinical decline. At 3 month follow-up, the patient had a modified Rankin Scale score of 0.

  • intervention
  • pediatrics
  • stroke
  • thrombectomy

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  • Republished with permission from BMJ Case Reports Published 13 October 2017; doi:10.1136/bcr-2017-013277

  • Contributors All the authors equally contributed to acquiring and analyzing the data, drafted and critically edited the article, and approved the final version for submission. JJG and DAW supervised the study.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.