title: Congenital neuroblastoma presenting with paraplegia following spinal puncture in a neonate. Case report and review of the literature.
abstract: Neuroblastoma is the most common intraspinal solid tumor of childhood. Neurological deterioration due to an intratumoral hemorrhage following a spinal puncture is extremely rare. We report on the case of a 23-day-old neonate who was admitted to our institution for the onset of a paraplegia following a diagnostic lumbar puncture. The MRI showed an epidural tumor with massive intratumoral hemorrhage. Operatively and with histologic confirmation, the mass was determined to be a neuroblastoma. Following surgery, neurological function improved.
authors.affiliation: Neurosurgery Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia. Electronic address: kilanineurochirurgien@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Kilani
authors.affiliation: Pediatric Oncology Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia.
authors.forename: S
authors.initials: S
authors.lastname: Hammami
authors.affiliation: Neurosurgery Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Darmoul
authors.affiliation: Pediatric Oncology Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia.
authors.forename: S
authors.initials: S
authors.lastname: Haddad
authors.affiliation: Neurosurgery Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia.
authors.forename: A
authors.initials: A
authors.lastname: Ben Nsir
authors.affiliation: Radiology Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia.
authors.forename: W
authors.initials: W
authors.lastname: Mnari
authors.affiliation: Neurosurgery Department, Fattouma Bourguiba University Hospital, Farhat Hached Street, Monastir 5000, Tunisia.
authors.forename: M-N
authors.initials: MN
authors.lastname: Hattab
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009447:Neuroblastoma / Q000150:complications / Q000151:congenital* / Q000175:diagnosis*; D010264:Paraplegia / Q000209:etiology*; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000151:congenital* / Q000175:diagnosis*; D013129:Spinal Puncture / Q000009:adverse effects*