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Ischemic stroke
CASE REPORT
Late recanalization of basilar artery occlusion in a previously healthy 17-month-old child
  1. D Andrew Wilkinson1,
  2. Aditya S Pandey1,
  3. Hugh J Garton1,
  4. Luis Savastano1,
  5. Julius Griauzde2,
  6. Neeraj Chaudhary2,
  7. Joseph J Gemmete1,2
  1. 1 Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA
  2. 2 Department of Radiology, University of Michigan, Ann Arbor, Michigan, USA
  1. Correspondence to D Andrew Wilkinson, dawilki{at}umich.edu

Summary

Endovascular treatment of acute ischemic stroke in children is increasingly being reported, although the time window for intervention is unclear. We describe a previously healthy 17-month-old child who presented with vertebral artery thrombosis and cerebellar stroke requiring posterior fossa decompression. She later progressed to basilar artery thrombosis treated with mechanical thrombectomy 50 hours after clinical decline. At 3 month follow-up, the patient had a modified Rankin Scale score of 0.

  • intervention
  • pediatrics
  • stroke
  • thrombectomy

https://doi.org/10.1136/bcr-2017-013277

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    Footnotes

    • Contributors All the authors equally contributed to acquiring and analyzing the data, drafted and critically edited the article, and approved the final version for submission. JJG and DAW supervised the study.

    • Competing interests None declared.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.