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[Central nervous system tumor: an unusual etiology for limb pain]
W Gueddari1, D Garel, C Barnerias
1Département des urgences pédiatriques, hôpital Necker-Enfants-Malades, assistance publique-hôpitaux de Paris, 149, rue de Sèvres, 75743 Paris 15, France.
Insights
Recurrent limb pain in children can signal serious underlying conditions. Two cases highlight that central nervous system tumors may present as unexplained limb pain, necessitating thorough investigation.
Area of Science:
- Pediatric neurology
- Neuro-oncology
- Musculoskeletal disorders
Background:
- Limb pain is a common pediatric emergency department complaint.
- Differential diagnoses typically include orthopedic, muscular, neurologic, or spinal issues.
Observation:
- Two pediatric patients presented with recurrent, unexplained limb pain.
- Initial assessments did not identify peripheral causes for the pain.
Findings:
- Both patients were diagnosed with central nervous system tumors.
- The limb pain was the primary presenting symptom of the tumors.
Implications:
- This case series underscores the importance of considering central nervous system pathology in pediatric limb pain.
- Early neuro-oncological evaluation may be crucial for children with persistent, undiagnosed limb pain.
Abstract:
Limb pain in children is one of the most frequent reasons to refer to the emergency unit. Most often it suggests an orthopaedic, a muscular, a peripheral neurologic or a spinal affection. We report two cases of recurrent limb pains revealing a central nervous system tumor.
