INTRODUCTION: 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. CASE: 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. CONCLUSION: We report the youngest patient in the literature to date who was treated with intra-arterial thrombolysis for an acute basilar artery occlusion.
INTRODUCTION: 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. CASE: 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. CONCLUSION: We report the youngest patient in the literature to date who was treated with intra-arterial thrombolysis for an acute basilar artery occlusion.
Authors: Nestor D Tomycz; Margo B Holm; Michael B Horowitz; Lawrence R Wechsler; Ketki Raina; Rishi Gupta; Tudor G Jovin Journal: J Neuroimaging Date: 2008-01 Impact factor: 2.486
Authors: N Paul Rosman; Seema Adhami; Glenn B Mannheim; Nathaniel P Katz; Richard P Klucznik; Mary Anne Muriello Journal: J Child Neurol Date: 2003-07 Impact factor: 1.987