ArticleSage open pediatrics
Malignant MCA Stroke in a 4-Year-Old Child: Early Decompressive Surgery as a Life-Saving Intervention.
Article in Sage open pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Malignant middle cerebral artery (MCA) infarction is a rare but life-threatening condition in children. We report a case of a previously healthy 4-year-old who developed malignant left MCA infarction following bronchopneumonia. One week into bronchopneumonia, the child experienced a prolonged right-sided focal motor seizure and a reduced level of consciousness (GCS 11/15). Brain CT revealed a large left MCA infarct with mild oedema. Seventy-two hours later, the child clinically deteriorated, and repeat imaging showed midline shift with signs of impending uncal herniation. Emergency decompressive hemicraniectomy and durotomy were performed. Postoperatively, cerebral oedema and midline shift improved. At discharge, the child could sit independently but had persistent neurological deficits requiring long-term neurorehabilitation. This case highlights the importance of early recognition and timely surgical intervention in managing paediatric malignant MCA infarction to improve survival and neurological outcomes.
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