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  • Title: Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter?
    Author: Ladner TR, He L, Jordan LC, Cooper C, Froehler MT, Mocco J.
    Journal: BMJ Case Rep; 2014 Nov 12; 2014():. PubMed ID: 25391820.
    Abstract:
    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).
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