Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter?. (18th November 2014)

• Record Type: Journal Article
• Authors: Ladner, Travis R; He, Lucy; Jordan, Lori C; Cooper, Calvin; Froehler, Michael T; Mocco, J
• Is Part Of: Journal of neurointerventional surgery. Volume 7:Number 12(2015)
• Page Start: e40
• Page End: e40
• Publication Date: 2014-11-18
• Subjects: Pediatrics -- Dissection -- Stroke -- Thrombectomy -- MRI; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2014-011465.rep
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : 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).