Mechanical Thrombectomy in an Infant with Acute Embolic Stroke

A 9-month-old previously healthy male infant was admitted with acute respiratory failure due to parainfluenza infection requiring intubation. On the day after admission, an acute pulmonary hypertension crisis causing cardiovascular collapse led to initiation of venoarterial extracorporeal membrane oxygenation (ECMO) with standard therapeutic anticoagulation. The following day, on routine neurologic assessment, the patient was noted to have bilateral fixed and dilated pupils. With decreased rates of sedative and paralytic infusions, he was noted to only move the left side of his body with preserved lower brainstem activity.
Source: Pediatric Neurology - Category: Neurology Authors: Tags: Clinical Letter Source Type: research