Child Neurology: Childhood basilar artery occlusion and stroke

Lobbous, Mina; Williams, Sara; Rashid, Shazia

doi:10.1212/wnl.0000000000004243

Cited by 4 publications

(6 citation statements)

References 10 publications

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“…According to the literature, the normal RI values of the internal carotid and vertebral arteries were ranged from 0.64 to 0.80 and from 0.73 to 0.89, respectively, in the neonatal population (17,18). Also, in full term neonates RI values of anterior, middle, and posterior cerebral arteries vary between 0.60 and 0.80 (9). These values were like our results (RI values of BA).…”

Section: Discussionsupporting

confidence: 89%

“…The main diagnosis in the pediatric population (between the ages of 0-17 years old) resulting from the basilary artery is mostly stroke. In these cases, the diagnosis was generally taken with computed tomographic angiography and/or conventional angiography (8)(9)(10). In literature, the knowledge about TCD usage for the evaluation of BA pathologies is very limited.…”

Section: Introductionmentioning

confidence: 99%

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Basilar artery flow characteristics and color Doppler sonography findings in healthy infants

Çınar

Ucan

2022

Journal of Health Sciences and Medicine

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Aim: Transcranial Doppler (TCD) is a widely used method for the evaluation of vertebrobasilar system. There is not neither a consensus nor significant number of publications about normal spectral Doppler waveform and resistance index (RI), peak systolic velocity (PSV), and end diastolic velocity (EDV) values of basilar artery (BA). We aim to define normal PSV, EDV, RI values of BA via TCD in healthy infants. Material and Method: BA was evaluated from anterior fontanelle by creating sagittal and coronal images. Color Doppler ultrasonography (CDUS) and spectral Doppler examinations were performed by placing the cursor in the middle portion of BA. PSV, EDV, and RI values were recorded. Patients were divided into 4 subgroups to analyze the change of normal values according to age groups: (1) 0-120 days, (2) 121-180 days, (3) 181-270 days, (4) >271 days. Results: 115 healthy infants were included into the study. A weak positive correlation was found between PSV, EDV values and age; meanwhile a weak but significant negative correlation was present between age and RI values. We cannot find any correlation between sex and CDUS parameters. Conclusion: BA PSV, EDV and RI values change by age. No correlation is present between CDUS characteristics and sex. BA pathologies are rare in pediatric population, nevertheless knowing normal CDUS characteristics can help radiologists for an appropriate assessment.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Basilar artery flow characteristics and color Doppler sonography findings in healthy infants

Çınar

Ucan

2022

Journal of Health Sciences and Medicine

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“…Most children with arterial stroke present with neurologist deficit, altered sensorium, lower cranial nerve palsies and headache even symptoms of arterial stroke can be varied depends on anatomical vascular obstruction [7]. In this case, both them present with neurologist deficits, beside that child in case 1 present with dysarthria.…”

Section: Casementioning

confidence: 78%

“…The use of antiplatelet such as aspirin, commonly used in children for preventing second stroke [13]. In recent literature has suggested that endovascular interventions may be safe and effective with modern devices especially for children with proximal large vessel occlusions [7]. Based on international guidelines, recommend the use of anticoagulation in children and selected neonates, in this case use of heparin being increase in pediatric.…”

Section: Casementioning

confidence: 99%

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Case Series: Chronic Pediatric Ischemic Stroke in Childs Successfully Treated with IAHF Procedure

A¹,

Ikrar²,

Pramono³

et al. 2021

Int J Brain Disord Treat

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Occlusion or rupture of cerebral blood vessel can cause a stroke. It can occur either on a child and adult even it unusual in children. Stroke in pediatric population is rare but it carries often long-term disability and mortality. We present two cases of pediatric stroke with metabolic disease as underlying disease. One of them admitted with weakness and clumsiness persisted of right hand and leg. The other one admitted with weakness in the left hand and leg. Both showed motor improvement and progression cerebral blood flow after IAH procedure. The rarity of the case and successful management prompted us for reporting along with review of literatures.

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Hyperdense basilar artery identified on unenhanced head CT in three cases of pediatric basilar artery occlusion

Potter

Clemente

Asimos

2021

The American Journal of Emergency Medicine

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Child Neurology: Childhood basilar artery occlusion and stroke

Cited by 4 publications

References 10 publications

Basilar artery flow characteristics and color Doppler sonography findings in healthy infants

Basilar artery flow characteristics and color Doppler sonography findings in healthy infants

Case Series: Chronic Pediatric Ischemic Stroke in Childs Successfully Treated with IAHF Procedure

Hyperdense basilar artery identified on unenhanced head CT in three cases of pediatric basilar artery occlusion

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