Abstract
Background
Stroke in childhood is less common than stroke in adults, but recent study estimate
incidences up to 13/100,000. Mortality is decreasing but morbidity remains very high,
with variable effects for two thirds of patients. Recent guidelines for optimal treatment
in childhood stroke recommend advise against the use of thrombolysis, except for specific
research protocols. There is no recommendation about intra-arterial thrombolysis or
mechanical embolectomy. Various investigators have published cases of mechanical embolectomy
in adult stroke, and a few cases of children are also reported.
PATIENT
We report a case of mechanical embolectomy 6 hours after a basilar artery occlusion
in a healthy 7-year-old child. RESULT: He presented a successful medical outcome and
had made a complete recovery.
Conclusion
This patient and the 10 published pediatric cases suggest mechanical embolectomy can
be successfully used to treat basilar artery occlusion in children with coordination
of neurology and interventional radiology services.
Keywords
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Article info
Publication history
Accepted:
June 1,
2013
Received:
March 13,
2013
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
