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University of Toronto Combined Neurosciences Rounds — Rhabdomyosarcoma of the Head and Neck in Children

Published online by Cambridge University Press:  18 September 2015

R.P. Humphreys ,
D. McGreal ,
C.R. Fitz ,
L.E. Becker ,
M.A. Gribbin  and
T.P. Morley
R.P. Humphreys
Affiliation:
Divisions of Neurosurgery, Neurology, and Neuropathology and the Department of Radiology, Hospital for Sick Children and the Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
D. McGreal
Affiliation:
Divisions of Neurosurgery, Neurology, and Neuropathology and the Department of Radiology, Hospital for Sick Children and the Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
C.R. Fitz
Affiliation:
Divisions of Neurosurgery, Neurology, and Neuropathology and the Department of Radiology, Hospital for Sick Children and the Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
L.E. Becker
Affiliation:
Divisions of Neurosurgery, Neurology, and Neuropathology and the Department of Radiology, Hospital for Sick Children and the Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
M.A. Gribbin
Affiliation:
Divisions of Neurosurgery, Neurology, and Neuropathology and the Department of Radiology, Hospital for Sick Children and the Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
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Rhabdomyosarcoma of the head and neck region in children frequently presents with otolaryngologic symptoms. But tumours which arise along the cranial base and involve the middle ear, mastoid or nasopharynx may be associated with specific neurological phenomena (Fleischer et al., 1975). The following case illustrates these points. It also records the unusual development of remote, intradural metastatic disease. Rhabdomyosarcoma rarely gains access to the subarachnoid space. When it does, the route of penetration is usually directly from ear through internal auditory meatus to cerebellopontine angle (Russell and Rubinstein, 1970). Our case developed a metastatic intradural spinal lesion without interposed disease.

Type
Special Feature
Information
Canadian Journal of Neurological Sciences , Volume 10 , Issue 2 , May 1983 , pp. 119 - 125
Copyright
Copyright © Canadian Neurological Sciences Federation 1983

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