title: Successful mechanical thrombectomy in a three-year-old boy with cardioembolic occlusion of both the basilar artery and the left middle cerebral artery.
abstract: BACKGROUND
  Paediatric stroke is a potentially life-threatening emergency and requires immediate treatment to improve clinical outcome. In contrast to adult treatment recommendations, little is known about safety and efficacy of thrombolysis and mechanical thrombectomy in children.
  We report on a three-year-old boy with a cardioembolic intracranial two-vessel occlusion and successful therapy with thrombolysis and mechanical thrombectomy. Furthermore, this case emphasizes the need of standardized protocols for acute management of paediatric stroke.
authors.affiliation: Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany. Electronic address: lucia.gerstl@med.uni-muenchen.de.
authors.forename: Lucia
authors.initials: L
authors.lastname: Gerstl
authors.affiliation: Paediatric Intensive Care Unit, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Olivieri
authors.affiliation: Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Heinen
authors.affiliation: Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Ingo
authors.initials: I
authors.lastname: Borggraefe
authors.affiliation: Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Andreas Sebastian
authors.initials: AS
authors.lastname: Schroeder
authors.affiliation: Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Moritz
authors.initials: M
authors.lastname: Tacke
authors.affiliation: Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Vill
authors.affiliation: Department of Paediatric Cardiology, Ludwig-Maximilians-University of Munich, Marchioninistr. 15, 81377 Munich, Germany.
authors.forename: Robert
authors.initials: R
authors.lastname: Dalla-Pozza
authors.affiliation: Paediatric Intensive Care Unit, Hauner Children's Hospital, Ludwig-Maximilians-University of Munich, Lindwurmstr. 4, 80337 Munich, Germany.
authors.forename: Karl
authors.initials: K
authors.lastname: Reiter
authors.affiliation: Department of Neuroradiology, Ludwig-Maximilians-University of Munich, Marchioninistr.15, 81377 Munich, Germany.
authors.forename: Juergen
authors.initials: J
authors.lastname: Lutz
authors.affiliation: Department of Neuroradiology, Ludwig-Maximilians-University of Munich, Marchioninistr.15, 81377 Munich, Germany.
authors.forename: Hartmut
authors.initials: H
authors.lastname: Brueckmann
authors.affiliation: Department of Neuroradiology, Ludwig-Maximilians-University of Munich, Marchioninistr.15, 81377 Munich, Germany.
authors.forename: Hendrik
authors.initials: H
authors.lastname: Janssen
mesh_terms: D015901:Angiography, Digital Subtraction; D001488:Basilar Artery; D004452:Echocardiography; D006801:Humans; D007223:Infant; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D008297:Male; D010291:Paresis / Q000209:etiology; D020521:Stroke / Q000188:drug therapy* / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Cardioembolic stroke; Cerebrovascular disease; Pediatric stroke; Thrombectomy; Thrombolysis