Mechanical Thrombectomy in Pediatric Stroke: Report of Three New Cases

Whitney L. Gervelis, Meredith R. Golomb

Research output: Contribution to journalArticle

Abstract

Background: Mechanical thrombectomy for treatment of arterial ischemic stroke (AIS) and cerebral venous thrombosis (CVT) is well-studied in adult populations, but not in children. Methods: We 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. Results: Thrombectomy 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. Conclusions: Mechanical 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.

Original languageEnglish (US)
Article number104551
JournalJournal of Stroke and Cerebrovascular Diseases
Volume29
Issue number2
DOIs
StatePublished - Feb 2020

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Keywords

  • Pediatric stroke
  • arterial ischemic stroke
  • cerebral venous thrombosis
  • childhood stroke
  • recanalization
  • recanalization
  • thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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