title: Intra-arterial treatment in a child with embolic stroke due to atrial myxoma.
abstract: Arterial ischaemic stroke is an important cause of morbidity in children. Timely diagnosis is necessary for acute stroke treatment but can be challenging in clinical practice. Due to a paucity of data there are no specific recommendations regarding the use of mechanical thrombectomy devices in current paediatric stroke guidelines. A 14-year-old boy presented with a severe acute left hemisphere stroke due to a proximal middle cerebral artery occlusion caused by emboli from an atrial myxoma. No clinical improvement was seen after administration of intravenous thrombolysis. Subsequent mechanical thrombectomy with a second-generation stent-based thrombectomy device resulted in successful recanalization and clinical improvement. To our knowledge, this is the ﬁrst report of mechanical thrombectomy in a child with acute embolic stroke caused by atrial myxoma.
authors: Department of Radiology, Medical Center Haaglanden; The Hague, The Netherlands - Department of Neurology, Leiden University Medical Center; Leiden, The Netherlands - wijngaardido@gmail.com.
authors: Ido
authors: I
authors: van den Wijngaard
authors: Department of Neurology, Leiden University Medical Center; Leiden, The Netherlands.
authors: Marieke
authors: M
authors: Wermer
authors: Department of Radiology, Leiden University Medical Center; Leiden, The Netherlands.
authors: Marianne
authors: M
authors: van Walderveen
authors: Department of Neurology, Leiden University Medical Center; Leiden, The Netherlands.
authors: Natalie
authors: N
authors: Wiendels
authors: Department of Paediatric Neurology, Leiden University Medical Center; Leiden, The Netherlands.
authors: Cacha
authors: C
authors: Peeters-Scholte
authors: Department of Radiology, Medical Center Haaglanden; The Hague, The Netherlands.
authors: Geert
authors: G
authors: Lycklama À Nijeholt
mesh_terms: D000293:Adolescent; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008297:Male; D061185:Mechanical Thrombolysis / Q000295:instrumentation* / Q000379:methods*; D009232:Myxoma / Q000150:complications* / Q000601:surgery; D011859:Radiography; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome
keywords: CT angiography; myxoma; paediatric stroke; thrombectomy; thrombolysis