Recurrent abdominal pains as the first symptom of a spinal cord tumor

Recurrent abdominal pains occur in about 11% of children. Of these about 8% have an organic etiology. That a spinal cord tumor, especially the intramedullary type, may present with abdominal pains as the initial symptom is unknown in paediatric circles. To highlight this problem two patients are reported. Early diagnosis is essential. The most important clues to a spinal cord tumor are pain, progressive paralysis, and a sensory level. In children with recurrent abdominal pains of unclear etiology the possibility of a spinal cord tumor must be kept in mind and lead to appropriate investigations.