Kulhari Ashish, Dorn Elizabeth, Pace Jonathan, Alambyan Vilakshan, Chen Stephanie, Wu Osmond C, Rizvi Macym, Hammond Anthony, Ramos-Estebanez Ciro
Department of Neurology, Neurological Institute, University Hospitals, Cleveland, OH, United States.
Department of Neurological Surgery, Neurological Institute, University Hospitals, Cleveland, OH, United States.
Front Neurol. 2017 Nov 29;8:634. doi: 10.3389/fneur.2017.00634. eCollection 2017.
Ischemic stroke is a rare condition to afflict the pediatric population. Congenital cardiomyopathy represents one of several possible etiologies in children. We report a 9-year-old boy who developed right middle cerebral artery stroke secondary to primary restrictive cardiomyopathy. In the absence of pediatric guidelines, the child met adult criteria for mechanical thrombectomy given the small core infarct and large penumbra. The literature suggests children may benefit from mechanical thrombectomy in carefully selected cases. Our patient exemplifies specific circumstances in which acute stroke therapy with thrombolysis and thrombectomy may be safe.
缺血性中风是一种在儿科人群中较为罕见的病症。先天性心肌病是儿童中风的几种可能病因之一。我们报告了一名9岁男孩，他因原发性限制性心肌病继发右大脑中动脉中风。鉴于梗死核心小且半暗带大，在缺乏儿科指南的情况下，该患儿符合成人机械取栓标准。文献表明，在经过精心挑选的病例中，儿童可能从机械取栓中获益。我们的患者例证了在某些特定情况下，采用溶栓和取栓进行急性中风治疗可能是安全的。
