Abstract:
STUDY DESIGN:New babies with neurologic deficits resulting from intraspinal extension of congenital neuroblastoma is very unusual. Two patients with congenital dumbbell neuroblastoma with paraplegia are described, and 16 other cases are reviewed. OBJECTIVE:To study the clinical features and prognosis of congenital dumbbell neuroblastoma. SUMMARY OF BACKGROUND DATA:Only 16 cases were found in the literature. METHODS:Two girls were diagnosed and underwent surgery. RESULTS:Although no recurrence occurred in both patients, incomplete paresis remained. Corrective surgery was needed because of the post-laminectomy spinal deformity in patient 2. CONCLUSIONS:Although a high survival rate in patients with congenital dumbbell neuroblastoma is encouraging, the poor neurologic recovery is of great concern. The authors recommend an early diagnosis by magnetic resonance imaging and early spinal cord decompression followed by chemotherapy for congenital dumbbell neuroblastoma.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Shimada Y,Sato K,Abe E,Suzuki T,Ishihara Ydoi
10.1097/00007632-199506000-00019subject
Has Abstractpub_date
1995-06-01 00:00:00pages
1295-300issue
11eissn
0362-2436issn
1528-1159journal_volume
20pub_type
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