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Article
May 1980

Cranial Computerized Tomography in Childhood Neuroblastoma

Author Affiliations

Department of Neurology D4-5 University of Miami School of Medicine PO Box 016960 Miami, FL 33101

Arch Neurol. 1980;37(5):326. doi:10.1001/archneur.1980.00500540104028
Abstract

To the Editor.—  The value of computerized tomographic (CT) scanning of the brain in the diagnosis and treatment of metastatic neuroblastoma has not, to our knowledge, been addressed in the literature.1-4 The following case indicates the value of CT scanning.

Report of a Case.—A  7-year-old boy had pain in his right leg with persistent fever, and on examination had an abdominal mass and questionable papilledema. Stage IV neuroblastoma was diagnosed and a CT scan was normal. One year later, cranial metastases were indicated by large lumps under the scalp and a CT scan demonstrated extensive intracranial dural implants (Figure). Two months later, he died. Necropsy was not allowed.

Comment.—  The 12% two-year survival anticipated in a child 2 years of age or older emphasizes the rapid growth of this tumor despite all forms of therapy.5,6 The evidence from CT scans of extensive intracranial involvement in this case offers, to

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