2017 Volume 26 Issue 11 Pages 830-834
We describe a case of a healthy 13-year-old boy presenting with right hemiparesis and aphasia. MRI demonstrated a DWI high signal in the left corona radiata and basal ganglia. MRA revealed a left middle cerebral artery proximal occlusion. He was treated 4.5 hours after the onset of symptoms with intravenous rt-PA. In addition, the patient was immediately taken for endovascular thrombectomy. A conventional angiogram showed occlusion of the left angular artery. We performed selective thrombus aspiration with a Penumbra system for the occluded angular artery. Sufficient recanalization was achieved and the patient recovered dramatically with no neurological deficits. The occurrence of cerebral infarction in children is relatively rare. This is rare case of a cerebrovascular infarction in a young patient, treated with intravenous thrombolysis and endovascular thrombectomy. There is no evidence concerning the use of intravenous rt-PA and endovascular thrombectomy for strokes in pediatric patients. But in our case, intravenous rt-PA and endovascular thrombectomy were useful treatments and were performed without severe adverse events.
