Late recanalization of basilar artery occlusion in a previously healthy 17-month-old child

J Neurointerv Surg. 2018 Jul;10(7):e17. doi: 10.1136/neurintsurg-2017-013277.rep. Epub 2018 Apr 7.

Abstract

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.

Keywords: intervention; pediatrics; stroke; thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use
  • Embolization, Therapeutic / methods
  • Endovascular Procedures / methods*
  • Female
  • Humans
  • Infant
  • Magnetic Resonance Angiography
  • Neurosurgical Procedures / methods*
  • Stents
  • Stroke / diagnostic imaging
  • Stroke / etiology
  • Stroke / surgery*
  • Thrombectomy
  • Treatment Outcome
  • Vertebrobasilar Insufficiency / complications
  • Vertebrobasilar Insufficiency / diagnostic imaging
  • Vertebrobasilar Insufficiency / surgery*

Substances

  • Anticoagulants