ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026
Bilateral arcuate foramen decompression for posterior circulation stroke in a child-case report and literature review.
Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. 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
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPosterior circulation stroke resulting from vertebral artery (VA) dissection in children is rare but may occur secondary to compression of the VA within the arcuate foramen (AF), a well-described congenital anomaly of the C1 vertebra. There is limited documentation of the surgical technique for VA decompression in such cases.
objectivesTo review the literature on the surgical management of symptomatic AF and to describe a paediatric case of posterior circulation infarction secondary to VA dissection associated with bilateral AF.
methodsA literature review was performed using PubMed and Google Scholar. Additionally, we report the case of a 15-year-old boy with bilateral AF who presented with posterior circulation infarction from VA dissection and underwent bilateral surgical VA decompression utilising 3D-printed intraoperative guides for operative planning and execution.
resultsTen papers were identified comprising 106 patients who underwent surgical decompression for AF-related VA compression, predominantly managed via a posterior midline approach. In our case, surgical decompression was successfully achieved with stable intraoperative neurophysiological monitoring and no complications. Postoperative recovery was uneventful, and the patient remained stroke-free at 7-month follow-up with complete resolution of headaches and hypertension.
conclusionsAF-related VA compression represents a rare but potentially treatable cause of paediatric posterior circulation stroke. Careful assessment of cervical spine anatomy should be performed in cases of paediatric posterior circulation stroke, and surgical decompression may be considered when AF is identified.
Indexed as
Identifiers
42618651What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.