Persistent chest pain for 4 months and progressive lower limb weakness for 2 months in a boy

WEI Hong-Ling, LU Shan, CHANG Yan-Mei

Chinese Journal of Contemporary Pediatrics ›› 2019, Vol. 21 ›› Issue (8) : 820-823.

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Chinese Journal of Contemporary Pediatrics ›› 2019, Vol. 21 ›› Issue (8) : 820-823. DOI: 10.7499/j.issn.1008-8830.2019.08.015
CASE ANALYSIS

Persistent chest pain for 4 months and progressive lower limb weakness for 2 months in a boy

  • WEI Hong-Ling, LU Shan, CHANG Yan-Mei
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Abstract

A boy, aged 5 years, was admitted due to chest pain for 4 months, right lower limb weakness for 2 months, and weakness of both lower limbs for 10 days. There were no symptoms of defecation/urination disorders or disturbance of consciousness, and the boy had upper motor neuron paralysis in both lower limbs, without cranial nerve involvement or sensory disorder. Spine magnetic resonance imaging revealed tumor in the spinal canal between cervical vertebra 6 and thoracic vertebra 2, which put pressure on the spinal cord. He was transferred to the department of neurosurgery for surgical treatment and fully recovered after tumor resection, and no recurrence was observed after 6 years of follow-up. The pathological diagnosis was clear cell meningioma (WHO grade Ⅱ). For children with chest pain and dyskinesia, spinal meningioma should be considered.

Key words

Meningioma / Chest pain / Muscle weakness / Child

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WEI Hong-Ling, LU Shan, CHANG Yan-Mei. Persistent chest pain for 4 months and progressive lower limb weakness for 2 months in a boy[J]. Chinese Journal of Contemporary Pediatrics. 2019, 21(8): 820-823 https://doi.org/10.7499/j.issn.1008-8830.2019.08.015

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