This is a case report of a child with multisystem inflammatory syndrome in children (MIS-C) complicated by an acute ischemic stroke with right M1 occlusion and large penumbra who underwent thrombectomy with TICI 3 recanalization. There were no complications and the patient had improvement in the pediatric NIHSS from 16 to 3 in the subsequent days. This is the first known report of successful mechanical thrombectomy performed in a pediatric patient with MIS-C associated with COVID-19.
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LaRovereKLRiggsBJPoussaintTY, et al.Neurologic involvement in children and adolescents hospitalized in the United States for COVID-19 or multisystem inflammatory syndrome. JAMA Neurol2021; 78: 536–547. Available from: https://pubmed.ncbi.nlm.nih.gov/33666649/(accessed 23 November 2021).
ChangJBulwaZBreitH, et al.Acute large vessel ischemic stroke in patients with COVID-19-related multisystem inflammatory syndrome. Pediatr Neurol2022; 126: 104–107. Available from: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC8464033/
RavindraVMAlexanderMTausskyP, et al.Endovascular thrombectomy for pediatric acute ischemic stroke: a multi-institutional experience of technical and clinical outcomes. Neurosurgery2020; 88: 46–54. Available from: https://pubmed.ncbi.nlm.nih.gov/32761237/
