TY - JOUR T1 - Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter? JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - e40 LP - e40 DO - 10.1136/neurintsurg-2014-011465.rep VL - 7 IS - 12 AU - Travis R Ladner AU - Lucy He AU - Lori C Jordan AU - Calvin Cooper AU - Michael T Froehler AU - J Mocco Y1 - 2015/12/01 UR - http://jnis.bmj.com/content/7/12/e40.abstract N2 - 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). ER -