{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T21:29:40Z","timestamp":1762896580913,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,20]]},"abstract":"<jats:p>Mechanical thrombectomy holds promise for children with large cerebral arterial occlusions, although there are few reports in this population. We report a case of retrievable stent-assisted mechanical thrombectomy in a 5-year-old with basilar artery occlusion, despite late presentation and extensive initial diffusion-weighted imaging (DWI) restriction. This resulted in successful Thrombolysis in Cerebral Infarction 2B reperfusion and excellent clinical outcome. At 6-week follow-up he was completely back to baseline with no residual deficits (pediatric stroke outcome measure=0, modified Rankin scale=0). At 3-month follow-up the patient has not had any recurrent stroke or concern for stroke-like symptoms. We review the literature on mechanical thrombectomy and DWI changes in acute stroke in early to middle childhood (&lt;12\u2005years old).<\/jats:p>","DOI":"10.1136\/bcr-2014-011465","type":"journal-article","created":{"date-parts":[[2014,11,12]],"date-time":"2014-11-12T04:57:49Z","timestamp":1415768269000},"page":"bcr2014011465","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Mechanical thrombectomy for acute stroke in childhood: how much does restricted diffusion matter?"],"prefix":"10.1136","volume":"2014","author":[{"given":"Travis R","family":"Ladner","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"He","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori C","family":"Jordan","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Pediatrics, Vanderbilt University, Nashville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calvin","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T","family":"Froehler","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Mocco","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vanderbilt University, Nashville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,11,12]]},"reference":[{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.607192"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.54.8.1684"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.3","doi-asserted-by":"publisher","DOI":"10.1007\/s003819900197"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2007.03.028"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2008.07.018"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.6","first-page":"63","article-title":"New mechanical recanalization devices\u2014the future in pediatric stroke treatment?","volume":"22","author":"Grunwald","year":"2010","journal-title":"J Invasive Cardiol"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2013.06.008"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.8","doi-asserted-by":"publisher","DOI":"10.1177\/0883073812460334"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.9","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2011-010100"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.10","doi-asserted-by":"publisher","DOI":"10.1177\/0883073813509889"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.11","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-013-2313-3"},{"key":"2025082800452358000_2014.nov12_1.bcr2014011465.12","doi-asserted-by":"crossref","unstructured":"Bodey C , Goddard T , Patankar T , et al . Experience of mechanical thrombectomy for paediatric arterial ischaemic stroke. Eur J Paediatr Neurol. 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