J Pediatr Intensive Care 2018; 07(02): 086-089
DOI: 10.1055/s-0037-1606256
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Ewing's Sarcoma of the Cervical Spine

Paul H. Dahm
1  Division of Critical Care Medicine, Department of Pediatrics, The University of Texas Health Science Center at Houston, Houston, Texas, United States
,
Meenakshi Bhattacharjee
2  Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, United States
,
Winston Huh
3  Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States
,
Vandana Thapar
4  Division of Pediatric Emergency Medicine, Department of Emergency Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, United States
› Author Affiliations
Further Information

Publication History

06 February 2017

24 July 2017

Publication Date:
24 August 2017 (eFirst)

Abstract

In this article, we present the case of a 6-year-old female presented to the emergency department with progressive ascending motor weakness leading to cardiac arrest. The recent medical history included neck trauma 1 month prior to admission, 2 weeks of subjective fevers, and 1 day of urinary incontinence. After stabilization, and a review of the recent signs and symptoms, a magnetic resonance imaging of the neck revealed a posterior neck mass from C2 to T2. Neurosurgical removal of the mass was consistent with Ewing's sarcoma. Neck pain is a common presentation in the pediatric population, with the most common cause being traumatic. When coupled with neurological deficits, further studies are warranted to evaluate for organic causes.