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Abstract Details

Mechanical thrombectomy for Basilar Artery Occlusion in a 7 year-old Patient
Cerebrovascular Disease and Interventional Neurology
Cerebrovascular Disease and Interventional Neurology Posters (7:00 AM-5:00 PM)
048
To report a case of mechanical thrombectomy for a basilar artery occlusion  in a pediatric patient
Acute arterial strokes in children are rare but can potentially cause lasting and permanent neurological deficits. Mechanical thrombectomy (MT) has a well-established efficacy and safety profile in adult stroke management, but limited studies are available evaluating pediatric patients. We present a 7-year-old boy who had a left vertebral dissection that resulted in brainstem and cerebellar stroke after falling off a trampoline and made a complete neurological recovery after undergoing MT via Sophia Plus catheter
N/A
A 7-year-old male with no significant past medical history presented with three episodes of  generalized tonic-clonic seizures after he had sustained head and neck trauma post trampoline fall a day prior. The seizures were preceded by neck pain, nausea and vomiting. In the emergency department, he was unresponsive with right gaze deviation and NIHSS was reported to be 21. Head computed tomography (CT) without contrast was unremarkable and for further management he was admitted to the Pediatric ICU after intubation.  Magnetic resonance imaging (MRI) brain without contrast revealed areas of infarction in the left pons, midbrain and cerebellar regions. Computed tomographic angiogram (CTA) head and neck revealed left vertebral artery dissection with associated complete occlusion of the left V3 segment of VA and distal basilar artery thrombosis. The patient was taken for emergent mechanical thrombectomy and recanalized with pump aspiration via the Sophia Plus 6 French catheter. Three month post-thrombectomy evaluation revealed an excellent neurological recovery with NIHSS of 1 and mRS of 1.
Although guidelines for  pediatric mechanical thrombectomy are lacking, our case shows that MT with catheters designed for adult patients may be safe and efficacious in the pediatric population
Authors/Disclosures
Mustafa Al-Chalabi, DO
PRESENTER 		Dr. Al-Chalabi has nothing to disclose.
Nasar Ali, DO (Neuroscience Center) Dr. Ali has nothing to disclose.
Hisham Salahuddin, MD Dr. Salahuddin has nothing to disclose.