Next Article in Journal
Fractures in the Setting of Constriction Band Syndrome: A Case Series of Three Patients with Extremity Fractures at the Site of a Constriction Band
Next Article in Special Issue
Exploring Trends in Neuromonitoring Use in a General Pediatric ICU: The Need for Standardized Guidance
Previous Article in Journal
Attachment and the Development of Prosocial Behavior in Children and Adolescents: A Systematic Review
Previous Article in Special Issue
Sleep and Executive Functioning in Pediatric Traumatic Brain Injury Survivors after Critical Care
 
 
Case Report
Peer-Review Record

Pediatric Stroke due to Thoracic Outlet Syndrome Treated with Thrombolysis and Thrombectomy: A Case Report

Children 2022, 9(6), 875; https://doi.org/10.3390/children9060875
by Dhanalakshmi Angappan 1, McKinnon Garrett 1, Candice Henry 2, Art Riddle 1,† and Jenny L. Wilson 1,*,†
Reviewer 1: Anonymous
Reviewer 2: Anonymous
Children 2022, 9(6), 875; https://doi.org/10.3390/children9060875
Submission received: 8 May 2022 / Revised: 8 June 2022 / Accepted: 9 June 2022 / Published: 12 June 2022
(This article belongs to the Special Issue Pediatric Neurocritical Care and Neurotrauma Recovery)

Round 1

Reviewer 1 Report

This is a case report of an adolescent with an MCA occlusion due to thoracic outlet syndrome. It is well written and the provided pictures, along with the legends, further strengthen the presentation. I have only minor comments (which could be added during proofs):

 

Please provide the status of the right vertebral artery. If it is occluded then the most possible mechanism is retrograde propagation of thrombus. If not then a (much rarer) retrograde embolism should be hypothesized (according to picture 2A this is however the most possible clinical scenario). 

 

The surgical repair was performed on day 4 post mechanical thrombectomy in order to prevent a possible recurrence. In general and based on your experience, how soon after the diagnosis of a thrombosed aneurysm due to TOS would you suggest such an intervention?

 

Author Response

See attachment

Author Response File: Author Response.docx

Reviewer 2 Report

The authors reported an interesting case of a pediatric patient with acute ischemic stroke caused by thoracic outlet syndrome.

 

They reported that this was the first report of a pediatric patient with acute ischemic stroke caused by thoracic outlet syndrome treated by intravenous thrombolysis and intra-arterial thrombectomy.

 

As they mentioned, stroke is an uncommon complication of arterial thoratic outlet syndrome, which is rare in children.

 

I think that this study is very well-written, however, I have a question.

 

What are the patient's height and weight? A 15-year old children may have similar height and weight as an adult, and I think that it may make this study better.

 

Thank you for your hard work, and congratulations.

Author Response

See attached

Author Response File: Author Response.docx

Back to TopTop