• Ido van den Wijngaard, Marieke Wermer, Marianne van Walderveen, Natalie Wiendels, Cacha Peeters-Scholte, and Geert Lycklama À Nijeholt.
• Department of Radiology, Medical Center Haaglanden; The Hague, The Netherlands - Department of Neurology, Leiden University Medical Center; Leiden, The Netherlands - wijngaardido@gmail.com.
• Interv Neuroradiol. 2014 May 1; 20 (3): 345-51.

AbstractArterial ischaemic stroke is an important cause of morbidity in children. Timely diagnosis is necessary for acute stroke treatment but can be challenging in clinical practice. Due to a paucity of data there are no specific recommendations regarding the use of mechanical thrombectomy devices in current paediatric stroke guidelines. A 14-year-old boy presented with a severe acute left hemisphere stroke due to a proximal middle cerebral artery occlusion caused by emboli from an atrial myxoma. No clinical improvement was seen after administration of intravenous thrombolysis. Subsequent mechanical thrombectomy with a second-generation stent-based thrombectomy device resulted in successful recanalization and clinical improvement. To our knowledge, this is the first report of mechanical thrombectomy in a child with acute embolic stroke caused by atrial myxoma.

30 keywords...

hide…