Basilar artery occlusion in a 14-year old female successfully treated with acute intravascular intervention: case report and review of the literature.

J Paediatr Child Health 2011 Jul 31;47(7):408-14. Epub 2011 Jan 31.

Department of Neurology, Liverpool Hospital, Liverpool, Sydney, New South Wales, Australia.

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.

Download full-text PDF

Source
http://dx.doi.org/10.1111/j.1440-1754.2010.01974.xDOI Listing
July 2011

Publication Analysis

Top Keywords

symptom onset
12
time symptom
8
severe neurological
8
neurological recovery
8
'locked-in' state
8
acute intravascular
8
artery occlusion
8
paediatric bao
8
therapy paediatric
8
basilar artery
8
state idiopathic
4
reports published
4
published cases
4
cases undergone
4
undergone acute
4
case reports
4
progressed 'locked-in'
4
published case
4
limited small
4
full clinical
4

Similar Publications