“…However, to date, no clear evidence on the success rate of such treatment in aTOS children with stroke has been provided. Reported pediatric series [ 3 , 13 , 17 , 19 , 20 ] contain only single aTOS cases younger than 10 years. Although surgery seems effective for distal (forearm, hand) complaints, the risks and benefits of vascular reconstruction of the potential SA aneurysm are still a matter of debate.…”