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March 1969, Vol 117, No. 3 >
Article | March 1969

An Extra-axial Brainstem Tumor of Childhood FREE

Gail E. Solomon, MD; Bruno P. Tolge, MD; John Palesty, MD; Jules C. Waltner, MD; Guy D. Potter, MD
[+] Author Affiliations

Received for publication March 22, 1968.

Reprint requests to the Department of Neurology, College of Physicians and Surgeons of Columbia University, 630 W 168th St, New York 10032 (Dr. Solomon).


Am J Dis Child. 1969;117(3):338-340. doi:10.1001/archpedi.1969.02100030340018.
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UNILATERAL cranial nerve paresis is an uncommon presentation of intracranial tumors in children. A child with an extraaxial tumor eroding the petrous apex manifested this syndrome. The mode of presentation and the unusual site of this embryonal rhabdomyosarcoma led us to report this case.

Report of a Case  A 6½-year-old Chinese girl was admitted to Babies Hospital after a five-week history of insidious onset, but relentless progression of left-sided headache, dysphagia, and nasal regurgitation associated with weight loss. During the three-week period before admission, the child was treated for "otitis media" with various antibiotics. There was no decrease of hearing or aural discharge. Ten days before admission an internal strabismus and tongue atrophy were noted. She had no fever, face pain, or incoordination of trunks or limbs. There was no family history of neurological disease.

Observations  Physical Examination.—The patient appeared chronically ill. The only abnormal finding on general physical

REFERENCES

1 +
Leigh, D.:  Subacute Necrotizing Encephalomyelopathy in an Infant , J Neurol Neurosurg Psychiat 14:216-221 ( (Aug) ) 1951;.
2 +
Gomez, M.R.; Clermont, V.; and Bernstein, J.:  Progressive Bulbar Paralysis in Childhood (Fazio-Londe's Disease: Report of a Case With Pathologic Evidence of Nuclear Atrophy , Arch Neurol 6: 317-323 ( (April) ) 1962;.
3 +
Bray, P.F.; Carter, S.; and Taveras, J.M.:  Brainstem Tumors in Children , Neurology 8:1-7 ( (Jan) ) 1958;.
4 +
Koop, C.E., and Tewarson, I.P.:  Rhabdomyosarcoma of the Head and Neck in Children , Ann Surg 160:95-103 ( (July) ) 1964;.
5 +
Potter, G.D.:  Embryonal Rhabdomyosarcoma of the Middle Ear in Children , Cancer 19:221-226 ( (Feb) ) 1966;.
6 +
Faure, C., et al:  Les Sarcomes embryonnaires à localisation cranio-faciale chez l'enfant , Ann Radiol 10:173-184, 1967;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Leigh, D.:  Subacute Necrotizing Encephalomyelopathy in an Infant , J Neurol Neurosurg Psychiat 14:216-221 ( (Aug) ) 1951;.
2 +
Gomez, M.R.; Clermont, V.; and Bernstein, J.:  Progressive Bulbar Paralysis in Childhood (Fazio-Londe's Disease: Report of a Case With Pathologic Evidence of Nuclear Atrophy , Arch Neurol 6: 317-323 ( (April) ) 1962;.
3 +
Bray, P.F.; Carter, S.; and Taveras, J.M.:  Brainstem Tumors in Children , Neurology 8:1-7 ( (Jan) ) 1958;.
4 +
Koop, C.E., and Tewarson, I.P.:  Rhabdomyosarcoma of the Head and Neck in Children , Ann Surg 160:95-103 ( (July) ) 1964;.
5 +
Potter, G.D.:  Embryonal Rhabdomyosarcoma of the Middle Ear in Children , Cancer 19:221-226 ( (Feb) ) 1966;.
6 +
Faure, C., et al:  Les Sarcomes embryonnaires à localisation cranio-faciale chez l'enfant , Ann Radiol 10:173-184, 1967;.

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