title: Acute ischemic stroke in a child due to basilar artery occlusion treated successfully with a stent retriever.
abstract: Ischemic strokes in childhood are rare. Thrombolytic therapy with intravenous (IV) tissue plasminogen activator (tPA) has been the main intervention for the management of pediatric stroke patients, but safety data are lacking and efficacy has been questioned. Recently, successful endovascular treatments for acute ischemic stroke in children have been reported with increasing frequency, suggesting that mechanical thrombectomy can be a safe and effective treatment. We present the case of a 22-month-old child with acute ischemic stroke due to basilar artery occlusion that was successfully treated with a stent retriever.
authors.affiliation: Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
authors.forename: Luis
authors.initials: L
authors.lastname: Savastano
authors.affiliation: Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Gemmete
authors.affiliation: Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
authors.forename: Aditya S
authors.initials: AS
authors.lastname: Pandey
authors.affiliation: Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Roark
authors.affiliation: Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Chaudhary
mesh_terms: D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002533:Cerebral Angiography; D020878:Device Removal / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D018810:Magnetic Resonance Angiography; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods*; D015607:Stents; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020301:Vasospasm, Intracranial / Q000000981:diagnostic imaging / Q000209:etiology; D014715:Vertebrobasilar Insufficiency / Q000150:complications*
keywords: Pediatrics; Stroke