Teivāne Agnete, Naļivaiko Inga, Jurjāns Kristaps, Vētra Jānis, Veiss Andris, Novaša Arina, Dzelzīte Sarmīte, Krieviņš Dainis, Miglāne Evija
Faculty of Residency, Riga Stradins University, LV-1007 Riga, Latvia.
Neurology Department, Pauls Stradins Clinical University Hospital, LV-1002 Riga, Latvia.
Biomedicines. 2023 Oct 13;11(10):2774. doi: 10.3390/biomedicines11102774.
Studies have shown the benefits of endovascular treatment (EVT) in adult stroke cases, but its application in pediatric stroke remains controversial. Despite evidence of improved outcomes in adults, there are no established recommendations for EVT in children. Conducting individual case reports and case series is vital to understanding its potential advantages and disadvantages in this context. In this case report, a 9-year-old male initially diagnosed with gastroenteritis developed sudden left-sided weakness 1 day after admission. Comprehensive imaging revealed acute ischemia in the cerebellum, indicating a basilar artery thrombus. Urgent endovascular treatment (EVT) was performed 8.5 h after the onset of neurological symptoms, achieving successful revascularization. The patient underwent rehabilitation and was later discharged with improved neurological status. Despite extensive investigations, the stroke's origin remained unknown. After six months, the patient exhibited complete neurological recovery, highlighting the patient's remarkable resilience.
研究表明血管内治疗（EVT）在成人中风病例中具有益处，但其在儿童中风中的应用仍存在争议。尽管有证据表明成人接受该治疗后预后有所改善，但目前尚无针对儿童EVT的既定建议。开展个案报告和病例系列研究对于了解其在这种情况下的潜在优缺点至关重要。在本病例报告中，一名9岁男性最初被诊断为肠胃炎，入院1天后突然出现左侧肢体无力。综合影像学检查显示小脑急性缺血，提示基底动脉血栓形成。在神经症状发作8.5小时后进行了紧急血管内治疗（EVT），实现了成功的血管再通。患者接受了康复治疗，后来出院时神经状态有所改善。尽管进行了广泛的调查，中风的病因仍然不明。六个月后，患者实现了完全神经功能恢复，凸显了患者显著的恢复能力。
