RT Journal Article
SR Electronic
T1 Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter?
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e40
OP e40
DO 10.1136/neurintsurg-2014-011465.rep
VO 7
IS 12
A1 Travis R Ladner
A1 Lucy He
A1 Lori C Jordan
A1 Calvin Cooper
A1 Michael T Froehler
A1 J Mocco
YR 2015
UL http://jnis.bmj.com/content/7/12/e40.abstract
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).