Letter-to-the Editor: Focal cerebral arteriopathy and acute ischaemic stroke in children: A diagnostic-therapeutical conundrum.
Cerebral artery dissection
Digital subtraction angiography
Focal cerebral arteriopathy
Stroke
Journal
European journal of radiology
ISSN: 1872-7727
Titre abrégé: Eur J Radiol
Pays: Ireland
ID NLM: 8106411
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
24
05
2021
revised:
29
06
2021
accepted:
02
07
2021
pubmed:
12
7
2021
medline:
26
8
2021
entrez:
11
7
2021
Statut:
ppublish
Résumé
Acute ischaemic stroke (AIS) in children is generally considered an up-to-date and controversial topic because its presents significant peculiarities. Focal cerebral arteriopathies (FCA) are a possible cause of AIS in children characterized by an unilateral lesion of the terminal internal cerebral artery (ICA) and proximal segment (M1) of middle cerebral artery (MCA), leading to subocclusion, occasionally with a typical "striate" pattern and a tendency to stability or regression at follow-up. It is unclear whether in FCA the basic lesion is an inflammatory or a dissective arterial pathology. Herein we report a small series of children (<16 yo) with AIS from a FCA who underwent mechanical thrombectomy (MT). We speculate on the angiographic findings suggesting an aetiology of the lesion, and on indications and limits of the currently available treatments.
Identifiants
pubmed: 34247031
pii: S0720-048X(21)00327-2
doi: 10.1016/j.ejrad.2021.109846
pii:
doi:
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
109846Informations de copyright
Copyright © 2021 Elsevier B.V. All rights reserved.