Successful mechanical thrombectomy in a three-year-old boy with cardioembolic occlusion of both the basilar artery and the left middle cerebral artery

Eur J Paediatr Neurol. 2016 Nov;20(6):962-965. doi: 10.1016/j.ejpn.2016.07.014. Epub 2016 Jul 25.

Abstract

Background: Paediatric stroke is a potentially life-threatening emergency and requires immediate treatment to improve clinical outcome. In contrast to adult treatment recommendations, little is known about safety and efficacy of thrombolysis and mechanical thrombectomy in children.

Case description and conclusion: We report on a three-year-old boy with a cardioembolic intracranial two-vessel occlusion and successful therapy with thrombolysis and mechanical thrombectomy. Furthermore, this case emphasizes the need of standardized protocols for acute management of paediatric stroke.

Keywords: Cardioembolic stroke; Cerebrovascular disease; Pediatric stroke; Thrombectomy; Thrombolysis.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction
  • Basilar Artery*
  • Echocardiography
  • Humans
  • Infant
  • Infarction, Middle Cerebral Artery / diagnostic imaging
  • Infarction, Middle Cerebral Artery / drug therapy*
  • Infarction, Middle Cerebral Artery / surgery*
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / drug therapy*
  • Intracranial Embolism / surgery*
  • Male
  • Paresis / etiology
  • Stroke / drug therapy*
  • Stroke / surgery*
  • Thrombectomy / methods*
  • Thrombolytic Therapy / methods*
  • Tomography, X-Ray Computed
  • Treatment Outcome