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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 53
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
H
emidiaphragm palsy associated with solid neck mass is rarely
seen in neuroblastoma. We report the case of a one-month-
old male infant manifesting left-sided neck mass and sudden
onset of respiratory distress. The initial diagnosis was congenital
muscular torticollis. However, subsequent chest x-ray showed
the elevation of the left hemidiaphragm and magnetic resonance
imaging revealed a 5.5×4.6×3.0 cm size solitary mass. The
possibility of tumor mass associated hemidiaphragm palsy was
then considered. Fine-needle aspiration cytology was performed
and a final diagnosis of stage IVS neuroblastoma based upon INSS
staging was confirmed by immunocytochemistry. Bone marrow
aspirates and biopsies showed 7% metastatic neuroblastoma. The
child underwent chemotherapy with intravenous administration
of carboplatin and etoposide. Control MRI done at 50 days later
revealed significant regression of the mass, and the patient had
been on mechanical ventilation support for 52 days.
hui19890713hui@163.comHemidiaphragm palsy: a rare manifestation of cervical
congenital neuroblastoma in a small infant
Hui Hui
China
Hui Hui, Med Case Rep. 2018, Volume 4
DOI:10.21767/2471-8041-C1-003