title: Neuroblastoma presenting with symptoms of epidural compression at birth: a case report.
abstract: BACKGROUND
  Five to 10 % of children with neuroblastoma present with symptoms of epidural compression (EC). More than half these patients are diagnosed in the first year of life. The case of a neuroblastoma presenting symptoms of EC at birth is exceptional and deserves to be reported.
  
  
  METHODS
  We describe a case of female born at the 36(th) week of pregnancy by caesarian section decided following ultrasonographic discovery of oligohydramnios. At birth, she was noted to have motor deficit involving both legs and continuous urinary dripping. These symptoms were found to be secondary to a paraspinal neuroblastoma infiltrating the spinal canal. Tumor responded well to chemotherapy, but neurologic deficit only slightly improved and bladder dysfunction remained unchanged. At 2 years of age, patient is able to walk with help of leg orthoses, suffers chronic constipation requiring daily medications, and has neurologic bladder necessitating multiple daily catheterizations.
  
  
  CONCLUSIONS
  The finding of a newborn presenting with symptoms of EC secondary to a neuroblastoma invading the spinal canal is quite uncommon. The case described herewith confirms that these rare patients have an excellent survival probability, but almost always develop severe functional sequelae.
authors.affiliation: Departments of Hematology-Oncology, Istituto Giannina Gaslini, Genoa, Italy. chiara.suffia@gmail.com.
authors.forename: Chiara
authors.initials: C
authors.lastname: Suffia
authors.affiliation: Departments of Hematology-Oncology, Istituto Giannina Gaslini, Genoa, Italy.
authors.forename: Stefania
authors.initials: S
authors.lastname: Sorrentino
authors.affiliation: Department of Hematology-Oncology, Santobono-Pausilipon Children's Hospital, Naples, Italy.
authors.forename: Simona
authors.initials: S
authors.lastname: Vetrella
authors.affiliation: Department of anatomopathology, Santobono-Pausilipon Children's Hospital, Naples, Italy.
authors.forename: Delfina
authors.initials: D
authors.lastname: Bifano
authors.affiliation: Departments of Hematology-Oncology, Istituto Giannina Gaslini, Genoa, Italy.
authors.forename: Marilina
authors.initials: M
authors.lastname: Nantron
authors.affiliation: Departments of Hematology-Oncology, Istituto Giannina Gaslini, Genoa, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: De Bernardi
authors.affiliation: Pediatric Interventional Radiology and Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Gandolfo
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009447:Neuroblastoma / Q000150:complications* / Q000151:congenital*; D013117:Spinal Cord Compression / Q000151:congenital* / Q000209:etiology*; D013125:Spinal Neoplasms / Q000150:complications* / Q000151:congenital*
keywords: Case report; Epidural compression; Late sequelae; Neuroblastoma; Newborn