Limits...
Paediatric Stroke: Review of the Literature and Possible Treatment Options, including Endovascular Approach.

Ciceri EF, Cuccarini V, Chiapparini L, Saletti V, Valvassori L - Stroke Res Treat (2011)

Bottom Line: Vascular abnormalities, such as arteriovenous malformations, aneurysms, vessel dissection, stenosis, and moyamoya disease, are frequently associated with both IS and HS and lead to high recurrence rates.Endovascular and surgical treatment options are sometimes indicated, performed on the basis of expert opinion, and extrapolated from the adult procedures.In the present paper, we review the recent literature and we discuss the treatment in five cases managed at our institutions.

View Article: PubMed Central - PubMed

Affiliation: Neuroradiology Department, Fondazione Istituto "C. Besta", Via Celoria 11, 20133 Milan, Italy.

ABSTRACT
Stroke is among the top 10 causes of death in childhood. More than half of the surviving children have long-term neurological sequelae. Ischemic stroke (IS) includes arterial ischemic stroke and cerebral venous thrombosis with venous infarction. Haemorrhagic stroke (HS) includes intracerebral haematoma or subarachnoid haemorrhage. Risk factors for stroke are different in children and in adults. 10-30% of IS have no identified risk factors. However, multiple risk factors are recognizable in the majority of stroke in children; thus, a comprehensive diagnostic evaluation is crucial. Vascular abnormalities, such as arteriovenous malformations, aneurysms, vessel dissection, stenosis, and moyamoya disease, are frequently associated with both IS and HS and lead to high recurrence rates. Endovascular and surgical treatment options are sometimes indicated, performed on the basis of expert opinion, and extrapolated from the adult procedures. In the present paper, we review the recent literature and we discuss the treatment in five cases managed at our institutions.

No MeSH data available.


Related in: MedlinePlus

Anteroposterior view of the left internal carotid artery angiography shows a blister-like aneurysm at the intracranial bifurcation (a). Note the small pseudoaneurysm (arrow in (a)) at the dome of the aneurysmal sac, corresponding to the image seen on the CT (Figure 7), and the spasm in the supraclinoid portion of the carotid artery. The posttreatment angiography shows successful obliteration of the aneurysm with stent and a single platinum coil (b).
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3140077&req=5

fig8: Anteroposterior view of the left internal carotid artery angiography shows a blister-like aneurysm at the intracranial bifurcation (a). Note the small pseudoaneurysm (arrow in (a)) at the dome of the aneurysmal sac, corresponding to the image seen on the CT (Figure 7), and the spasm in the supraclinoid portion of the carotid artery. The posttreatment angiography shows successful obliteration of the aneurysm with stent and a single platinum coil (b).

Mentions: Four vessels DSA was then performed under general anesthesia, showing a left temporal arteriovenous shunt with an abnormal vascular dilatation, probably consistent with a venous varix (Figure 6(a)). It was successfully treated via endovascular approach with a superselective catheterization of the left anterior temporal artery, obliterating the venous varix and the shunt, utilizing detachable platinum coils and histoacrylic glue (Figure 6(b)).


Paediatric Stroke: Review of the Literature and Possible Treatment Options, including Endovascular Approach.

Ciceri EF, Cuccarini V, Chiapparini L, Saletti V, Valvassori L - Stroke Res Treat (2011)

Anteroposterior view of the left internal carotid artery angiography shows a blister-like aneurysm at the intracranial bifurcation (a). Note the small pseudoaneurysm (arrow in (a)) at the dome of the aneurysmal sac, corresponding to the image seen on the CT (Figure 7), and the spasm in the supraclinoid portion of the carotid artery. The posttreatment angiography shows successful obliteration of the aneurysm with stent and a single platinum coil (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3140077&req=5

fig8: Anteroposterior view of the left internal carotid artery angiography shows a blister-like aneurysm at the intracranial bifurcation (a). Note the small pseudoaneurysm (arrow in (a)) at the dome of the aneurysmal sac, corresponding to the image seen on the CT (Figure 7), and the spasm in the supraclinoid portion of the carotid artery. The posttreatment angiography shows successful obliteration of the aneurysm with stent and a single platinum coil (b).
Mentions: Four vessels DSA was then performed under general anesthesia, showing a left temporal arteriovenous shunt with an abnormal vascular dilatation, probably consistent with a venous varix (Figure 6(a)). It was successfully treated via endovascular approach with a superselective catheterization of the left anterior temporal artery, obliterating the venous varix and the shunt, utilizing detachable platinum coils and histoacrylic glue (Figure 6(b)).

Bottom Line: Vascular abnormalities, such as arteriovenous malformations, aneurysms, vessel dissection, stenosis, and moyamoya disease, are frequently associated with both IS and HS and lead to high recurrence rates.Endovascular and surgical treatment options are sometimes indicated, performed on the basis of expert opinion, and extrapolated from the adult procedures.In the present paper, we review the recent literature and we discuss the treatment in five cases managed at our institutions.

View Article: PubMed Central - PubMed

Affiliation: Neuroradiology Department, Fondazione Istituto "C. Besta", Via Celoria 11, 20133 Milan, Italy.

ABSTRACT
Stroke is among the top 10 causes of death in childhood. More than half of the surviving children have long-term neurological sequelae. Ischemic stroke (IS) includes arterial ischemic stroke and cerebral venous thrombosis with venous infarction. Haemorrhagic stroke (HS) includes intracerebral haematoma or subarachnoid haemorrhage. Risk factors for stroke are different in children and in adults. 10-30% of IS have no identified risk factors. However, multiple risk factors are recognizable in the majority of stroke in children; thus, a comprehensive diagnostic evaluation is crucial. Vascular abnormalities, such as arteriovenous malformations, aneurysms, vessel dissection, stenosis, and moyamoya disease, are frequently associated with both IS and HS and lead to high recurrence rates. Endovascular and surgical treatment options are sometimes indicated, performed on the basis of expert opinion, and extrapolated from the adult procedures. In the present paper, we review the recent literature and we discuss the treatment in five cases managed at our institutions.

No MeSH data available.


Related in: MedlinePlus