Peter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. Moss
Subject
Myeloid sarcoma; Abdominal mass; Orbital tumor; Child
History
An eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump behind the right ear with crusting and tearing of the right eye.
Pathology
Presentation and imaging were classic for metastatic neuroblastoma.
Disease/Diagnosis
Myeloid Sarcoma
Clinical
On exam, the patient averted to light and fixed and followed with either eye, pupils were equal, round and reactive to light; Right hypertropia with resistance to retropulsion; 2+ right lid edema and ptosis and trace left lid edema and ptosis; Abdominal exam revealed a right-sided mass; CT examination of the orbits revealed bilateral orbital and paranasal sinus masses with spiculations, calcifications and osseous destruction; MRI studies confirmed multiple T1 and T2 hypointense extra-axial masses of the calvarium, skull base and bones of the face, particularly involving the orbits, which enhanced with contrast and were slightly diffusion restricted; CT of the abdomen demonstrated right adrenal and rib masses
Presenting Symptom
An eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma.
Neuroimaging
MRI
Date
2013-02-10
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
45th Annual Frank Walsh Society Meeting
Relation is Part of
Case presented at the NANOS 2013 Walsh Session, February 10