J Cerebrovasc Endovasc Neurosurg.
2019 Mar;21(1):33-39. 10.7461/jcen.2019.21.1.33.
Successful Mechanical Thrombectomy Using Solumbra Technique In a 35-year-old Man With Achondroplasia: a case report
- Affiliations
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- 1Department of Neurosurgery, Deajeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea. kope95@hanmail.net
- 2Department of Radiology, Deajeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Republic of Korea.
- KMID: 2465013
- DOI: http://doi.org/10.7461/jcen.2019.21.1.33
Abstract
- BACKGROUND
Achondroplasia is one of the most common types of dwarfism and is inherited as an autosomal dominant disease. The patients with achondroplasia suffer from various complications such as craniofacial, central nervous system, spinal, respiratory and cardiac anomalies. CASE DESCRIPTION: We report a case of a 35-year-old man with achondroplasia who visited the emergency room with right hemiplegia and aphasia within 6 hours after onset. An Initial CT angiography showed the total occlusion of a left internal cerebral artery due to the thrombus. We treated the patient with endovascular thrombectomy using "Solumbra technique" with balloon guiding catheter. The procedure was successful and result was completely recanalized with Thrombolysis in Cerebral Infarction (TICI) scale 3 and the weakness also improved from grade II to grade IV.
CONCLUSION
Acute ischemic stroke patients with achondroplasia could be treated with mechanical thrombectomy.
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