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Updated: Oct 9, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
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Published on: August 18, 2015

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Acute ischemic stroke in a child due to basilar artery occlusion treated successfully with a stent retriever

Luis Savastano1, Joseph J Gemmete2, Aditya S Pandey2

  • 1Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA.

BMJ Case Reports
|July 8, 2015
PubMed

Insights

Pediatric ischemic stroke is rare. Mechanical thrombectomy using a stent retriever offers a safe and effective treatment option for acute ischemic stroke in children, as demonstrated in a case of basilar artery occlusion.

Area of Science:

  • Pediatric Neurology
  • Interventional Neuroradiology
  • Vascular Neurology

Background:

  • Childhood ischemic stroke is uncommon, with intravenous thrombolysis using tissue plasminogen activator (tPA) being the primary treatment, despite limited safety and efficacy data.
  • Mechanical thrombectomy is emerging as a viable alternative for acute ischemic stroke in pediatric patients.

Observation:

  • A 22-month-old child presented with an acute ischemic stroke caused by basilar artery occlusion.

Findings:

  • The child was successfully treated with mechanical thrombectomy utilizing a stent retriever.
  • This case highlights the potential of endovascular techniques in managing pediatric stroke.

Implications:

  • Mechanical thrombectomy represents a promising and effective treatment modality for acute ischemic stroke in children.
  • Further research into endovascular approaches for pediatric stroke is warranted to establish safety and efficacy profiles.

Keywords:
PediatricsStroke

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