• J Stroke Cerebrovasc Dis · Feb 2020

    Case Reports

    Mechanical Thrombectomy in Pediatric Stroke: Report of Three New Cases.

    • Whitney L Gervelis and Meredith R Golomb.
    • Division of Child Neurology, Department of Neurology, Riley Hospital for Children at Indiana University Health and Indiana University School of Medicine, Indianapolis, Indiana.
    • J Stroke Cerebrovasc Dis. 2020 Feb 1; 29 (2): 104551.

    BackgroundMechanical thrombectomy for treatment of arterial ischemic stroke (AIS) and cerebral venous thrombosis (CVT) is well-studied in adult populations, but not in children.MethodsWe report 3 new cases of pediatric stroke treated using mechanical thrombectomy. Two cases of AIS and 1 case of CVT were identified from 2018 pediatric stroke clinic records.ResultsThrombectomy was successful in 1 of the 2 AIS cases and in the CVT case. None of the children were asymptomatic after thrombectomy. One AIS case had good recovery than developed dystonia which responded to treatment; the second AIS case had residual hemiplegia; and the child with CVT had mild school problems.ConclusionsMechanical thrombectomy is being increasingly used for pediatric stroke treatment. This study and recent literature reviews suggest thrombectomy holds promise as a treatment for selected pediatric stroke patients. Questions remain about the safety and efficacy of thrombectomy in children with stroke since large randomized controlled studies are not yet feasible.Copyright © 2019 Elsevier Inc. All rights reserved.

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