Dahm Paul H, Bhattacharjee Meenakshi, Huh Winston, Thapar Vandana
Division of Critical Care Medicine, Department of Pediatrics, The University of Texas Health Science Center at Houston, Houston, Texas, United States.
Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, United States.
J Pediatr Intensive Care. 2018 Jun;7(2):86-89. doi: 10.1055/s-0037-1606256. Epub 2017 Aug 24.
In this article, we present the case of a 6-year-old female presented to the emergency department with progressive ascending motor weakness leading to cardiac arrest. The recent medical history included neck trauma 1 month prior to admission, 2 weeks of subjective fevers, and 1 day of urinary incontinence. After stabilization, and a review of the recent signs and symptoms, a magnetic resonance imaging of the neck revealed a posterior neck mass from C2 to T2. Neurosurgical removal of the mass was consistent with Ewing's sarcoma. Neck pain is a common presentation in the pediatric population, with the most common cause being traumatic. When coupled with neurological deficits, further studies are warranted to evaluate for organic causes.
在本文中,我们报告了一名6岁女性的病例,该患者因进行性上行性运动无力导致心脏骤停而被送往急诊科。近期病史包括入院前1个月的颈部创伤、2周的主观发热以及1天的尿失禁。病情稳定后,回顾近期的体征和症状,颈部磁共振成像显示C2至T2水平有一个颈部后部肿块。神经外科手术切除该肿块,病理结果符合尤因肉瘤。颈部疼痛在儿童群体中是一种常见表现,最常见的原因是外伤。当伴有神经功能缺损时,有必要进行进一步检查以评估是否存在器质性病因。