A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery

Stroke in the pediatric population is rare. Despite presentation similar to that seen in the adult patient, the diagnosis in a child can be missed or mistaken for a more common stroke mimic. Due to its rarity, there are no completed pediatric clinical trials investigating best treatment, though guid...

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Main Authors: Christopher Troy, Jonathan Sisti, Angel Maldonado-Soto, Gabriella Tosto-D’antonio, Michael L. Miller, Fabrizio Remotti, Grace Mandigo
Format: Article
Language:English
Published: Karger Publishers 2021-05-01
Series:Case Reports in Neurology
Subjects:
Online Access:https://www.karger.com/Article/FullText/514089
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author Christopher Troy
Jonathan Sisti
Angel Maldonado-Soto
Gabriella Tosto-D’antonio
Michael L. Miller
Fabrizio Remotti
Grace Mandigo
author_facet Christopher Troy
Jonathan Sisti
Angel Maldonado-Soto
Gabriella Tosto-D’antonio
Michael L. Miller
Fabrizio Remotti
Grace Mandigo
author_sort Christopher Troy
collection DOAJ
description Stroke in the pediatric population is rare. Despite presentation similar to that seen in the adult patient, the diagnosis in a child can be missed or mistaken for a more common stroke mimic. Due to its rarity, there are no completed pediatric clinical trials investigating best treatment, though guidelines have been extrapolated from adult guidelines and retrospective cohort studies to include some combination of thrombolysis and mechanical thrombectomy. Rarer still is pediatric stroke caused by tumor embolus. We present the case of a young child diagnosed with stroke secondary to osteosarcoma embolism to the left internal carotid artery and review the relevant literature to discuss the considerations and challenges of treatment of stroke in the pediatric population.
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spelling doaj.art-ee71506b7c95463e8133be576a672c5b2022-12-21T19:57:13ZengKarger PublishersCase Reports in Neurology1662-680X2021-05-0113226927510.1159/000514089514089A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid ArteryChristopher Troy0https://orcid.org/0000-0003-2634-9633Jonathan Sisti1Angel Maldonado-Soto2Gabriella Tosto-D’antonio3Michael L. Miller4https://orcid.org/0000-0002-6350-5706Fabrizio Remotti5Grace Mandigo6Department of Neurosurgery, Columbia University Irving Medical Center, New York, NY, USADepartment of Neurosurgery, Columbia University Irving Medical Center, New York, NY, USADepartment of Neurology, Columbia University Irving Medical Center, New York, NY, USADepartment of Neurosurgery, Columbia University Irving Medical Center, New York, NY, USADepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USADepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USADepartment of Neurosurgery, Columbia University Irving Medical Center, New York, NY, USAStroke in the pediatric population is rare. Despite presentation similar to that seen in the adult patient, the diagnosis in a child can be missed or mistaken for a more common stroke mimic. Due to its rarity, there are no completed pediatric clinical trials investigating best treatment, though guidelines have been extrapolated from adult guidelines and retrospective cohort studies to include some combination of thrombolysis and mechanical thrombectomy. Rarer still is pediatric stroke caused by tumor embolus. We present the case of a young child diagnosed with stroke secondary to osteosarcoma embolism to the left internal carotid artery and review the relevant literature to discuss the considerations and challenges of treatment of stroke in the pediatric population.https://www.karger.com/Article/FullText/514089thrombectomystrokepediatric patienttumor embolus
spellingShingle Christopher Troy
Jonathan Sisti
Angel Maldonado-Soto
Gabriella Tosto-D’antonio
Michael L. Miller
Fabrizio Remotti
Grace Mandigo
A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery
Case Reports in Neurology
thrombectomy
stroke
pediatric patient
tumor embolus
title A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery
title_full A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery
title_fullStr A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery
title_full_unstemmed A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery
title_short A Case of Pediatric Stroke: Osteosarcoma Embolus in the Internal Carotid Artery
title_sort case of pediatric stroke osteosarcoma embolus in the internal carotid artery
topic thrombectomy
stroke
pediatric patient
tumor embolus
url https://www.karger.com/Article/FullText/514089
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