A case of opsoclonus-myoclonus-ataxia with neuroblastoma.
A 2 year old boy presented with features of opsoclonus, myoclonus and ataxia. Routine investigations of blood, urine, x-ray chest, bone scan, EEG and MRI of brain, were normal. Urine for VMA was negative. A right suprarenal mass was detected at MRI of abdomen. The mass was resected completely and was found histologically to be of differentiating type of neuroblastoma. The child was treated initially with prednisolone for 6 weeks along with sodium valproate. He is still on sodium valproate for his neurological symptoms. His symptoms still persist though they have decreased in intensity.
Mukherjee
Asha
A
Park Clinic, Kolkata 700017.
Mukherjee
Arabinda
A
Chakrabarty
Suparna
S
D002524:Cerebellar Ataxia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009207:Myoclonus / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D009447:Neuroblastoma / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D015835:Ocular Motility Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D020361:Paraneoplastic Syndromes, Nervous System / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D011239:Prednisolone / Q000627:therapeutic use; D016896:Treatment Outcome
D011239:Prednisolone