Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report
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 g...
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2023-07-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2023-00045.pdf |
| _version_ | 1797327309457326080 |
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| author | Leila Afshar Hezarkhani Saeed Abdollahifard Mohammad Hossein Mirbolouk Shohre Hooshmand Ashkan Mowla Humain Baharvahdat |
| author_facet | Leila Afshar Hezarkhani Saeed Abdollahifard Mohammad Hossein Mirbolouk Shohre Hooshmand Ashkan Mowla Humain Baharvahdat |
| author_sort | Leila Afshar Hezarkhani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T06:36:23Z |
| format | Article |
| id | doaj.art-721d120e13714c3cb7570dbf0c538da6 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T06:36:23Z |
| publishDate | 2023-07-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-721d120e13714c3cb7570dbf0c538da62024-02-03T09:51:04ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732023-07-0118214014410.5469/neuroint.2023.00045397Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case ReportLeila Afshar Hezarkhani0Saeed Abdollahifard1Mohammad Hossein Mirbolouk2Shohre Hooshmand3Ashkan Mowla4Humain Baharvahdat5 Division of Neurovascular Intervention, Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Division of Neurovascular Intervention, Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran Hematologic Malignancies Research Institute, Beckman Research Institute, City of Hope, Duarte, CA, USA Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA Division of Neurovascular Intervention, Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, IranStroke 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.http://neurointervention.org/upload/pdf/neuroint-2023-00045.pdfstrokeinfantaspiration thrombectomyarterial dissection |
| spellingShingle | Leila Afshar Hezarkhani Saeed Abdollahifard Mohammad Hossein Mirbolouk Shohre Hooshmand Ashkan Mowla Humain Baharvahdat Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report Neurointervention stroke infant aspiration thrombectomy arterial dissection |
| title | Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report |
| title_full | Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report |
| title_fullStr | Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report |
| title_full_unstemmed | Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report |
| title_short | Mechanical Thrombectomy in a 12-Month-Old Infant with Acute Ischemic Stroke Possibly due to Internal Carotid Artery Dissection: A Case Report |
| title_sort | mechanical thrombectomy in a 12 month old infant with acute ischemic stroke possibly due to internal carotid artery dissection a case report |
| topic | stroke infant aspiration thrombectomy arterial dissection |
| url | http://neurointervention.org/upload/pdf/neuroint-2023-00045.pdf |
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