%0 Journal Article %A Travis R Ladner %A Lucy He %A Lori C Jordan %A Calvin Cooper %A Michael T Froehler %A J Mocco %T Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter? %D 2014 %R 10.1136/bcr-2014-011465 %J BMJ Case Reports %P bcr2014011465 %V 2014 %X Mechanical thrombectomy holds promise for children with large cerebral arterial occlusions, although there are few reports in this population. We report a case of retrievable stent-assisted mechanical thrombectomy in a 5-year-old with basilar artery occlusion, despite late presentation and extensive initial diffusion-weighted imaging (DWI) restriction. This resulted in successful Thrombolysis in Cerebral Infarction 2B reperfusion and excellent clinical outcome. At 6-week follow-up he was completely back to baseline with no residual deficits (pediatric stroke outcome measure=0, modified Rankin scale=0). At 3-month follow-up the patient has not had any recurrent stroke or concern for stroke-like symptoms. We review the literature on mechanical thrombectomy and DWI changes in acute stroke in early to middle childhood (<12 years old). %U https://casereports.bmj.com/content/casereports/2014/bcr-2014-011465.full.pdf