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儿童副肿瘤综合征

Paraneoplastic syndrome in childhood.

作者信息

Schuler D, Koós R, Krauze I, Péter A

出版信息

Acta Paediatr Acad Sci Hung. 1977;18(1):31-40.

PMID:602750
Abstract

The case of five-year old boy is reported who at the age of 18 months had successfully been operated upon for neuroblastoma and who had subsequently signs of cerebellar encephalopathy. The paraneoplastic conditions of childhood are discussed in connection with the reported case. Opsoclonus was not observed in the patient, and symptoms showed rapid improvement on methotrexate, carmustine and CCNU treatment. Six months later the child was free of neurological disturbances and only displayed a slight mental retardation (IQ: 88). Cytological alterations observed in the CSF during the cerebellar encephalopathy are described in detail. At present, 41 months after the operation the child is well and free of symptoms.

摘要

报告了一名5岁男孩的病例,该男孩在18个月大时成功接受了神经母细胞瘤手术,随后出现了小脑性脑病的症状。结合该病例报告讨论了儿童副肿瘤性疾病。该患者未观察到眼阵挛,且在甲氨蝶呤、卡莫司汀和洛莫司汀治疗后症状迅速改善。6个月后,该儿童无神经功能障碍,仅表现出轻度智力发育迟缓(智商:88)。详细描述了小脑性脑病期间脑脊液中观察到的细胞学改变。目前,手术后41个月,该儿童状况良好,无症状。

相似文献

1
Paraneoplastic syndrome in childhood.儿童副肿瘤综合征
Acta Paediatr Acad Sci Hung. 1977;18(1):31-40.
2
[Paraneoplastic syndrome in childhood].[儿童副肿瘤综合征]
Orv Hetil. 1977 Jul 24;118(30):1771-4.
3
[A boy with acute cerebellar ataxia without opsoclonus caused by neuroblastoma].[一名由神经母细胞瘤引起的无眼球阵挛的急性小脑性共济失调男孩]
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Opsoclonus-ataxia caused by childhood neuroblastoma: developmental and neurologic sequelae.儿童神经母细胞瘤所致眼阵挛-共济失调:发育及神经后遗症
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[A rare case of mediastinal neuroblastoma with pectus excavatum in a 4-month-old boy--a surgical report].[一名4个月大男孩患纵隔神经母细胞瘤并伴有漏斗胸的罕见病例——一份手术报告]
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Uncommon reasons of the digestive tract-related paraneoplastic syndromes in children with neuroblastic tumors: three case reports.神经母细胞瘤患儿消化道相关副肿瘤综合征的罕见原因:三例报告
Contemp Oncol (Pozn). 2018;22(1):42-46. doi: 10.5114/wo.2018.74393. Epub 2018 Apr 3.
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Paraneoplastic syndromes in ganglioneuroblastoma: contrasting symptoms of constipation and diarrhoea.神经母细胞瘤中的副肿瘤综合征:便秘与腹泻的对比症状
Eur J Pediatr. 2003 Jul;162(7-8):511-513. doi: 10.1007/s00431-003-1212-0. Epub 2003 May 9.