Neurosurgeons should know about feature of pediatric neuroblastoma: a case of acute epidural hematoma-like imaging

Abstract

The patient is a 1year 7months old girl. A right eyelid subcutaneous hematoma (raccoon eye) and an epidural hematoma-like findings were found on head CT. Intraoperative findings revealed a hematoma as well as bone abnormalities and an epidural soft tissue tumor. Postoperative whole-body CT revealed a right adrenal tumor, and the pathological findings of the tissue specimen removed at the time of surgery led to the diagnosis of neuroblastoma. Neuroblastoma is known to have an improved prognosis with early intervention. However, neurosurgeons are unfamiliar with this disease, and knowledge of this disease can contribute to early intervention without assuming that the combination of eyelid hematoma and acute epidural hematoma-like findings was caused by trauma