title: Acute ischemic stroke in a 12-year-old successfully treated with mechanical thrombectomy.
abstract: We report the case of a healthy 12-year-old girl with an acute ischemic stroke successfully treated with mechanical thrombectomy. The child was referred to our hospital 6 hours after sudden onset of severe headache and left hemiparesis. Cerebral angiography findings were consistent with right distal internal carotid artery occlusion in addition to ipsilateral middle cerebral artery occlusion. Subsequent mechanical thrombectomy with Solitaire AB device resulted in complete vessel recanalization. The patient experienced progressive neurologic improvement with good clinical recovery at the 3-month follow-up. To our knowledge, only 3 cases of primary mechanical thrombectomy in children have been previously reported in the literature. Safety and efficacy data for endovascular therapies in pediatric acute ischemic stroke are lacking. We propose mechanical thrombectomy as an option in children with significant neurologic deficits and proven arterial occlusion, especially when the therapeutic window for intravenous thrombolysis has been exceeded.
authors.affiliation: 1Department of Neurology, Comprehensive Stroke Center, Hospital Universitario Ramón y Cajal, Madrid, Spain.
authors.forename: Susana
authors.initials: S
authors.lastname: Sainz de la Maza
authors.forename: Alicia
authors.initials: A
authors.lastname: De Felipe
authors.forename: Maria Consuelo
authors.initials: MC
authors.lastname: Matute
authors.forename: Eduardo
authors.initials: E
authors.lastname: Fandiño
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Méndez
authors.forename: Pablo
authors.initials: P
authors.lastname: Morillo
authors.forename: Jaime
authors.initials: J
authors.lastname: Masjuan
mesh_terms: D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002545:Brain Ischemia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D002648:Child; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D005500:Follow-Up Studies; D007839:Functional Laterality; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications / Q000473:pathology / Q000601:surgery; D020521:Stroke / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D017131:Thrombectomy / Q000295:instrumentation; D015898:Tomography Scanners, X-Ray Computed; D016896:Treatment Outcome
keywords: endovascular treatment; pediatric stroke; transient cerebral arteriopathy