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Basilar artery occlusion in a 14‐year old female successfully treated with acute intravascular intervention: Case report and review of the literature
Author(s) -
Taneja Sanjeev R,
Hanna Ibrahim,
Holdgate Anna,
Wenderoth Jason,
Cordato Dennis J
Publication year - 2011
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2010.01974.x
Subject(s) - medicine , dysarthria , stroke (engine) , ataxia , occlusion , intervention (counseling) , basilar artery , pediatrics , acute stroke , surgery , radiology , psychiatry , mechanical engineering , tissue plasminogen activator , engineering
Basilar artery occlusion (BAO) is a rare cause of paediatric stroke that may result in severe neurological disability including a ‘locked‐in’ state. Acute interventional therapy for paediatric BAO is limited to a small number of published case reports. Of 13 previously published cases that have undergone acute intravascular therapy, six made a full neurological recovery, six had residual deficits ranging from mild dysarthria and ataxia to vegetative state and one patient died. The time from symptom onset to intervention was ≥12 h in 77% (10/13). We reported a 14‐year‐old female patient presenting with altered sensorium that progressed to a ‘locked‐in’ state due to idiopathic BAO who made a full clinical recovery after successful mechanical thrombectomy at 24 h following symptom onset. Acute neuro‐interventional therapy for paediatric BAO can result in complete neurological recovery despite the presence of severe neurological deficits and a prolonged period of time from symptom onset to clinical diagnosis.