How Reliable are Urine Catecholamines in the Workup of Neuroblastoma Associated with Opsoclonus Myoclonus Ataxia?
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چکیده
We report a rare case of neuroblastoma with Opsoclonus Myoclonus Ataxia (OMA) and Horner’s syndrome in a previously healthy 17-month-old female who presented with titubations and a wide based gait. The patient had an initial negative workup including urine catecholamines. After further investigation, including a Magnetic Resonance Imaging (MRI) of the spine, neuroblastoma was revealed. This case emphasizes the importance of having a high suspicion for neuroblastoma despite negative urine catecholamine metabolites, especially when associated with OMA and Horner’s syndrome. Prompt treatment along with consultation with oncology is imperative to improve survival outcomes.
منابع مشابه
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تاریخ انتشار 2017