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Richard G. Curless, MD
Department of Neurology D4-5 University of Miami School of Medicine PO Box 016960 Miami, FL 33101

Arch Neurol. 1980;37(5):326.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The value of computerized tomographic (CT) scanning of the brain in the diagnosis and treatment of metastatic neuroblastoma has not, to our knowledge, been addressed in the literature.^1-4 The following case indicates the value of CT scanning.

Report of a Case.—A

7-year-old boy had pain in his right leg with persistent fever, and on examination had an abdominal mass and questionable papilledema. Stage IV neuroblastoma was diagnosed and a CT scan was normal. One year later, cranial metastases were indicated by large lumps under the scalp and a CT scan demonstrated extensive intracranial dural implants (Figure). Two months later, he died. Necropsy was not allowed.

Comment.—

The 12% two-year survival anticipated in a child 2 years of age or older emphasizes the rapid growth of this tumor despite all forms of therapy.^5,6 The evidence from CT scans of extensive intracranial involvement in this case offers, to . . . [Full Text PDF of this Article]

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