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" Progressive Disordered Movements in an Infant Leads to Rare Diagnosis "
Pasquale, Sarah; Dam, Aaron; Kelly, Christopher; Schubert, Romaine; Melville, Laura
Document Type
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AL
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Record Number
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927788
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Doc. No
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LA4xt1x9ms
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Language of Document
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English
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Main Entry
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Pasquale, Sarah; Dam, Aaron; Kelly, Christopher; Schubert, Romaine; Melville, Laura
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Title & Author
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Progressive Disordered Movements in an Infant Leads to Rare Diagnosis [Article]\ Pasquale, Sarah; Dam, Aaron; Kelly, Christopher; Schubert, Romaine; Melville, Laura
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Title of Periodical
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Clinical Practice and Cases in Emergency Medicine
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Volume/ Issue Number
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1/1
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Date
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2017
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Abstract
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Infantile desmoplastic ganglioglioma is a supratentorial superficially located cystic neuroepithelial tumor. It is an exceedingly rare tumor with an incidence of <0.1% of central nervous tumor and approximately 60 cases reported in the literature. We present a case of a 3-month-old infant with progressive disordered movements described as intermittent upper body stiffening with associated eye blinking, drooling, and change in level of alertness. A seizure was witnessed in the emergency department after which, the child was sent for imaging studies. Magnetic resonance imaging revealed a large solid and cystic mass in the temporal region measuring 8.6cm x 7.9cm x 5.1cm. The infant underwent complete surgical resection and post-surgical pathology revealed a diagnosis of infantile desmoplastic ganglioglioma. The patient had an excellent post-operative course in the months following discharge. At his last well child visit, no neurological deficits were appreciated and the infant was meeting expected milestones for his age.
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