title: Basilar artery occlusion in a 14-year old female successfully treated with acute intravascular intervention: case report and review of the literature.
abstract: Basilar artery occlusion (BAO) is a rare cause of paediatric stroke that may result in severe neurological disability including a 'locked-in' state. Acute interventional therapy for paediatric BAO is limited to a small number of published case reports. Of 13 previously published cases that have undergone acute intravascular therapy, six made a full neurological recovery, six had residual deficits ranging from mild dysarthria and ataxia to vegetative state and one patient died. The time from symptom onset to intervention was ≥ 12 h in 77% (10/13). We reported a 14-year-old female patient presenting with altered sensorium that progressed to a 'locked-in' state due to idiopathic BAO who made a full clinical recovery after successful mechanical thrombectomy at 24 h following symptom onset. Acute neuro-interventional therapy for paediatric BAO can result in complete neurological recovery despite the presence of severe neurological deficits and a prolonged period of time from symptom onset to clinical diagnosis.
authors.affiliation: Department of Neurology, Liverpool Hospital, Liverpool, Sydney, New South Wales, Australia.
authors.forename: Sanjeev R
authors.initials: SR
authors.lastname: Taneja
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Hanna
authors.forename: Anna
authors.initials: A
authors.lastname: Holdgate
authors.forename: Jason
authors.initials: J
authors.lastname: Wenderoth
authors.forename: Dennis J
authors.initials: DJ
authors.lastname: Cordato
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D061185:Mechanical Thrombolysis; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis / Q000628:therapy*