Angioplasty for acute stroke with pediatric moyamoya syndrome

Lisa Michael El-Hakam, John Volpi, Michel Mawad, Gary Clark

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Moyamoya vasculopathy is a progressive, occlusive vasculopathy leading to ischemic and hemorrhagic strokes. No treatments are established to treat acute ischemic stroke with moyamoya vasculopathy. A 3-year-old girl with moyamoya syndrome developed acute left hemiplegia. Emergent angiography showed near-occlusion of the supraclinoid segment of the right internal carotid artery. Balloon angioplasty was performed within 6 hours of symptom onset, with significant improvement in the child's neurological symptoms. This is the youngest case of intracranial balloon angioplasty, and this article discusses the paucity of data regarding angioplasty and other forms of endovascular intervention in pediatric cerebrovascular disease and moyamoya vasculopathy. Further study is needed to determine the safety and efficacy of endovascular intervention in these diseases.

Original languageEnglish (US)
Pages (from-to)1278-1283
Number of pages6
JournalJournal of Child Neurology
Volume25
Issue number10
DOIs
StatePublished - Oct 1 2010

Keywords

  • balloon angioplasty
  • childhood stroke
  • moyamoya syndrome

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

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