HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Nejat, F Articles by IzadYar, M Search for Related Content PubMed PubMed Citation Articles by Nejat, F Articles by IzadYar, M Related Collections Neuropathology Other Neurology Other Pediatrics

Congenital dumbbell neuroblastoma mimicking birth trauma

¹ Department of Neurosurgery, Children’s Hospital Medical Center, Tehran University of Medical Science, Tehran, Iran
² Department of Neurosurgery, Mashad University of Medical Science, Mashad, Iran
³ Children’s Hospital Medical Center, Tehran University of Medical Science, Tehran, Iran

Correspondence to:
Correspondence to:
Dr F Nejat
No 20, West 194 (Alaii Saqarloo) Street, 3rd square of Tehran pars, Tehran, Iran; nejat@sina.tums.ac.ir

Keywords: congenital neuroblastoma; neonate; unilateral leg palsy

The first 150 words of the full text of this article appear below.

Neuroblastoma is the commonest extracranial malignant tumour in children and neonates.¹ It may involve the vertebral bodies or extend into the spinal canal, compressing the spinal cord, or spread into the retroperitoneal space, involving the lumbosacral plexus. Early diagnosis is important for treatment. We report two cases of congenital neuroblastoma mimicking obstetric related palsies.

Case 1
A 4 month old baby boy with a diagnosis of unilateral leg palsy due to birth trauma, despite normal vaginal delivery, was admitted because of a palpable abdominal mass. The infant’s left leg lacked spontaneous movement, was flaccid, and deep tendon reflexes were absent. He had poor rectal tone and dribbling of urine. The levels of urinary catecholamine derivatives were increased. Spinal magnetic resonance imaging (MRI) demonstrated a large retroperitoneal mass with thoracolumbar cord involvement. A diagnosis of neuroblastoma was made following biopsy of the abdominal mass. Multiagent chemotherapy proved effective in reducing the size of . . . [Full text of this article]