Melanotic neuroectodermal tumor of infancy discovered after head trauma

Paisit Paueksakon, John R. Parker, X. Fan, Gordon Miles, Henry Ruiz, Curtis Wushensky, Mahlon Johnson

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Melanotic neuroectodermal tumor of infancy (MNTI) is a rare neoplasm that generally arises in the maxilla during the first year of life. Involvement of bones of the cranial vault or brain is extremely rare. We describe a 7-month-old black female who presented after falling out of bed onto a concrete floor. Subsequently, she developed an anterior frontal mass that enlarged over several days. Radiographs of the skull at her local hospital showed a depressed right frontal skull fracture. However, computerized tomography of the head (reviewed at our institution) revealed a slightly hyperdense extra-axial mass which crossed the anterior frontal midline, widening the metopic suture and extending into the anterior subgaleal scalp. Hyperostosis of the adjacent frontal calvarium was also present. A craniotomy revealed a dark, 1.5-cm calcified epidural lesion with some features of an unusual hematoma. Microscopic evaluation revealed a chronic hematoma and MNTI. The tumor recurred within a year. MNTI should be included in the differential diagnosis of epidural and skull lesions in infants.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalPediatric Neurosurgery
Volume36
Issue number1
DOIs
StatePublished - Jul 9 2002
Externally publishedYes

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Melanotic Neuroectodermal Tumor
Craniocerebral Trauma
Skull
Hematoma
Accidental Falls
Hyperostosis
Skull Fractures
Craniotomy
Maxilla
Scalp
Sutures
Neoplasms
Differential Diagnosis
Head
Tomography
Bone and Bones
Brain

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

Cite this

Paueksakon, P., Parker, J. R., Fan, X., Miles, G., Ruiz, H., Wushensky, C., & Johnson, M. (2002). Melanotic neuroectodermal tumor of infancy discovered after head trauma. Pediatric Neurosurgery, 36(1), 33-36. https://doi.org/10.1159/000048346

Melanotic neuroectodermal tumor of infancy discovered after head trauma. / Paueksakon, Paisit; Parker, John R.; Fan, X.; Miles, Gordon; Ruiz, Henry; Wushensky, Curtis; Johnson, Mahlon.

In: Pediatric Neurosurgery, Vol. 36, No. 1, 09.07.2002, p. 33-36.

Research output: Contribution to journalArticle

Paueksakon, P, Parker, JR, Fan, X, Miles, G, Ruiz, H, Wushensky, C & Johnson, M 2002, 'Melanotic neuroectodermal tumor of infancy discovered after head trauma', Pediatric Neurosurgery, vol. 36, no. 1, pp. 33-36. https://doi.org/10.1159/000048346
Paueksakon P, Parker JR, Fan X, Miles G, Ruiz H, Wushensky C et al. Melanotic neuroectodermal tumor of infancy discovered after head trauma. Pediatric Neurosurgery. 2002 Jul 9;36(1):33-36. https://doi.org/10.1159/000048346
Paueksakon, Paisit ; Parker, John R. ; Fan, X. ; Miles, Gordon ; Ruiz, Henry ; Wushensky, Curtis ; Johnson, Mahlon. / Melanotic neuroectodermal tumor of infancy discovered after head trauma. In: Pediatric Neurosurgery. 2002 ; Vol. 36, No. 1. pp. 33-36.
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