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Journal of Pediatric Neurology 2011; 09(03): 391-396
DOI: 10.3233/JPN-2011-0483
Georg Thieme Verlag KG Stuttgart – New York

Intra-arterial thrombolysis in a child with acute basilar artery occlusion

Saleel R. Chandratre
a   Department of Pediatric Neurology, Nottingham University Hospitals NHS Trust, Nottingham, UK
,
Tony Goddard
b   Department of Neuroimaging, Nottingham University Hospitals NHS Trust, Nottingham, UK
,
Richard Morton
c   Ronnie Mac Keith Centre, Derbyshire Children’s Hospital, Derby, UK
,
William P. Whitehouse
a   Department of Pediatric Neurology, Nottingham University Hospitals NHS Trust, Nottingham, UK
d   School of Clinical Sciences, University of Nottingham, Nottingham, UK
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Publication History

08 July 2010

17 August 2010

Publication Date:
30 July 2015 (online)

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Abstract

We report a case of a child who suffered a left hemisphere arterial ischemic stroke due to basilar artery occlusion. He was treated with intra-arterial recombinant tissue plasminogen activator at six and a half hours after the onset of hemiparesis. There were no complications and he showed rapid neurological and neuroimaging improvement. Where facilities allow rapid assessment at a combined adult and pediatric neurosciences facility, intra-arterial recombinant tissue plasminogen activator should be considered, especially for posterior circulation thrombosis.

Keywords

Child - basilar occlusion - arterial ischemic stroke - thrombolysis