Title |
Acute Ischemic Pediatric Stroke Management: An Extended Window for Mechanical Thrombectomy?
|
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Published in |
Frontiers in Neurology, November 2017
|
DOI | 10.3389/fneur.2017.00634 |
Pubmed ID | |
Authors |
Ashish Kulhari, Elizabeth Dorn, Jonathan Pace, Vilakshan Alambyan, Stephanie Chen, Osmond C. Wu, Macym Rizvi, Anthony Hammond, Ciro Ramos-Estebanez |
Abstract |
Ischemic stroke is a rare condition to afflict the pediatric population. Congenital cardiomyopathy represents one of several possible etiologies in children. We report a 9-year-old boy who developed right middle cerebral artery stroke secondary to primary restrictive cardiomyopathy. In the absence of pediatric guidelines, the child met adult criteria for mechanical thrombectomy given the small core infarct and large penumbra. The literature suggests children may benefit from mechanical thrombectomy in carefully selected cases. Our patient exemplifies specific circumstances in which acute stroke therapy with thrombolysis and thrombectomy may be safe. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 43% |
Malaysia | 1 | 14% |
Switzerland | 1 | 14% |
Unknown | 2 | 29% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 43% |
Practitioners (doctors, other healthcare professionals) | 3 | 43% |
Scientists | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 34 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 6 | 18% |
Student > Ph. D. Student | 4 | 12% |
Student > Bachelor | 4 | 12% |
Student > Doctoral Student | 4 | 12% |
Researcher | 3 | 9% |
Other | 7 | 21% |
Unknown | 6 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 41% |
Neuroscience | 2 | 6% |
Social Sciences | 2 | 6% |
Chemical Engineering | 1 | 3% |
Unspecified | 1 | 3% |
Other | 2 | 6% |
Unknown | 12 | 35% |