| Autor: |
Hezarkhani LA; Division of Neurovascular Intervention, Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran., Abdollahifard S; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Mirbolouk MH; Division of Neurovascular Intervention, Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran., Hooshmand S; Hematologic Malignancies Research Institute, Beckman Research Institute, City of Hope, Duarte, CA, USA., Mowla A; Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA., Baharvahdat H; Division of Neurovascular Intervention, Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran.; Department of Interventional Neuroradiology, Fondation Rothschild Hospital, Paris, France. |
| Abstrakt: |
Stroke in children is a rare but devastating disease. Although endovascular treatment has been reported to be safe and effective in the treatment of stroke with large vessel occlusion in this population, there are still limitations and controversies. In this case report, we describe a 12-month-old girl who was admitted to the hospital with acute onset of left-sided hemiplegia and confusion, which turned out to be due to a large infarct in the right middle cerebral artery territory, possibly caused by dissection of the right cervical internal carotid artery. Aspiration thrombectomy was successfully performed, and the patient was able to walk a few steps and raise her left upper extremity at the 12-month follow-up. The aspiration-only technique in thrombectomy may be safe and technically feasible to treat acute ischemic stroke with large vessel occlusion in children as young as 12 months, although large-volume prospective studies are needed. |
