PT  - JOURNAL ARTICLE
AU  - Travis R Ladner
AU  - Lucy He
AU  - Lori C Jordan
AU  - Calvin Cooper
AU  - Michael T Froehler
AU  - J Mocco
TI  - Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter?
AID  - 10.1136/neurintsurg-2014-011465.rep
DP  - 2015 Dec 01
TA  - Journal of NeuroInterventional Surgery
PG  - e40--e40
VI  - 7
IP  - 12
4099  - http://jnis.bmj.com/content/7/12/e40.short
4100  - http://jnis.bmj.com/content/7/12/e40.full
SO  - J NeuroIntervent Surg2015 Dec 01; 7
AB  - Mechanical thrombectomy holds promise for children with large cerebral arterial occlusions, although there are few reports in this population. We report a case of retrievable stent-assisted mechanical thrombectomy in a 5-year-old with basilar artery occlusion, despite late presentation and extensive initial diffusion-weighted imaging (DWI) restriction. This resulted in successful Thrombolysis in Cerebral Infarction 2B reperfusion and excellent clinical outcome. At 6-week follow-up he was completely back to baseline with no residual deficits (pediatric stroke outcome measure=0, modified Rankin scale=0). At 3-month follow-up the patient has not had any recurrent stroke or concern for stroke-like symptoms. We review the literature on mechanical thrombectomy and DWI changes in acute stroke in early to middle childhood (<12 years old).