Narcolepsy with cataplexy as presenting symptom of occult neuroblastoma.

Abstract:

:Neuroblastoma associated with the paraneoplastic syndrome of opsoclonus-myoclonus is well-described. However, presentation with narcolepsy-cataplexy is not well-documented in the literature. Narcolepsy with cataplexy is also rare in children younger than 5 years of age. Here we describe three patients, each presenting in early childhood with complex neurological symptoms including narcolepsy with cataplexy that were subsequently found to have paraspinal neuroblastoma. In two of the cases, neurological symptoms resolved with treatment of the tumor and/or immunosuppression, but in one case, the child persistently had a devastating course despite complete resection of the tumor and aggressive immunosuppression.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Sinsioco C,Silver K,Forrest KM,Gray J,Nechay A,Sheldon S,Chelmicka Schorr E

doi

10.1016/j.pediatrneurol.2012.12.038

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

64-7

issue

1

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(13)00018-0

journal_volume

49

pub_type

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