title: Superior mediastinal syndrome with Rowland-Payne syndrome: an unusual presentation of cervico-mediastinal neuroblastoma.
abstract: A 5-month-old boy presented with superior mediastinal syndrome due to a large, unresectable cervico-mediastinal neuroblastoma. He had an unusual constellation of findings not previously reported in neuroblastoma: Horner syndrome, phrenic nerve palsy, and palsy of the ipsilateral recurrent laryngeal nerve. This constellation of findings in adult malignancies is termed the Rowland-Payne syndrome. The child required prolonged mechanical ventilation but responded to chemotherapy and is now free of tumor and completely recovered.
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Kapoor
authors.forename: Rakesh
authors.initials: R
authors.lastname: Lodha
authors.forename: Sandeep
authors.initials: S
authors.lastname: Agarwala
mesh_terms: D006258:Head and Neck Neoplasms / Q000150:complications*; D006732:Horner Syndrome / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology*; D008479:Mediastinal Neoplasms / Q000150:complications*; D009447:Neuroblastoma / Q000150:complications*; D010243:Paralysis / Q000209:etiology*; D010791:Phrenic Nerve; D013577:Syndrome; D014826:Vocal Cord Paralysis / Q000209:etiology*