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Case 76 - Heterotopic Neuroglial Tissue

Published online by Cambridge University Press:  19 November 2019

Alessandro Franchi
Affiliation:
Università degli Studi di Firenze, Italy
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Summary

A 34-gestational-week female delivered a baby by cesarean section. A large cervical cystic mass had been diagnosed at 27 weeks and evacuated in utero just before delivery. A few minutes immediately after birth, the baby developed respiratory distress requiring tracheal intubation. Physical examination revealed a soft, right cervical mass, with anterior and lateral distortion of the ramus of the mandible. Ultrasonography, CT, and MRI taken when the child was 2 weeks of age showed a mixed cystic and solid mass measuring 7 × 6 cm. The mass dislocated the trachea and the oropharynx, and deformed the mandibular bone; no connection with the central nervous system was evidenced. The clinical diagnosis was mixed macro-micro cystic hygroma of the neck. After repeated drainages and injections of a sclerosing substance, the mass was resected when the child was at the age of 5 months.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2019

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References

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