Treatment of a Basilar Artery Occlusion with Intra-arterial Thrombolysis in a 3-year-old Girl
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Posterior circulation stroke attributable to basilar artery thrombosis is a rare entity and is difficult to diagnose in young children. Given the high rate of disability and mortality associated with the condition, endovascular revascularization may be a potential treatment strategy.
We describe a 3-year-old girl who presented with a decline in consciousness associated with tonic and clonic movements of her extremities thought to be secondary to a seizure. She was found to have a basilar artery occlusion 18 h from last known to be normal and was successfully treated with intra-arterial alteplase. At 6 month follow up the child has made substantial improvements and is in preschool with difficulties with ambulating longer distances.
We report the youngest patient in the literature to date who was treated with intra-arterial thrombolysis for an acute basilar artery occlusion.
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- Treatment of a Basilar Artery Occlusion with Intra-arterial Thrombolysis in a 3-year-old Girl
Volume 9, Issue 3 , pp 357-360
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- Basilar artery occlusion
- Intra-arterial thrombolysis
- Pediatric stroke
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- 1. Department of Neurology and Ophthalmology, Division of Cerebrovascular Diseases, Michigan State University, East Lansing, MI, USA
- 2. Cerebrovascular Center, The Cleveland Clinic Foundation, 9500 Euclid Avenue, S80, Cleveland, OH, 44195, USA