Savastano Luis, Gemmete Joseph J, Pandey Aditya S, Roark Christopher, Chaudhary Neeraj
Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
J Neurointerv Surg. 2016 Aug;8(8):e33. doi: 10.1136/neurintsurg-2015-011821.rep. Epub 2015 Jul 8.
Ischemic strokes in childhood are rare. Thrombolytic therapy with intravenous (IV) tissue plasminogen activator (tPA) has been the main intervention for the management of pediatric stroke patients, but safety data are lacking and efficacy has been questioned. Recently, successful endovascular treatments for acute ischemic stroke in children have been reported with increasing frequency, suggesting that mechanical thrombectomy can be a safe and effective treatment. We present the case of a 22-month-old child with acute ischemic stroke due to basilar artery occlusion that was successfully treated with a stent retriever.
儿童缺血性中风较为罕见。静脉注射组织型纤溶酶原激活剂(tPA)进行溶栓治疗一直是小儿中风患者治疗的主要干预措施,但缺乏安全性数据且疗效也受到质疑。最近,关于儿童急性缺血性中风成功进行血管内治疗的报道越来越多,这表明机械取栓术可能是一种安全有效的治疗方法。我们报告了一例22个月大的儿童因基底动脉闭塞导致急性缺血性中风,经支架取栓器成功治疗的病例。