Raccoon Eyes and Neuroblastoma

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A nine-month-old was seen for failure to thrive and bruising around the eyes. A nine-month-old girl was seen for failure to thrive and bruising around the eyes. On physical examination, she was noted to have periorbital ecchymosis, dysconjugate gaze, dilated and fixed pupils, and an abdominal mass. Examination of an open-biopsy specimen of the abdominal mass revealed neuroblastoma. A photograph of the child's face (Panel A) shows bilateral periorbital ecchymosis (“raccoon eyes”) with dysconjugate gaze; the sclera appear normal. An axial T1-weighted, contrast-enhanced magnetic resonance image of the brain through the orbits (Panel B) shows an extensive metastasis at the skull base, involving the sphenoid bone and the temporal and zygomatic.

Original languageEnglish (US)
Pages (from-to)e4
JournalNew England Journal of Medicine
Volume349
Issue number4
DOIs
StatePublished - Jul 24 2003

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Raccoons
Neuroblastoma
Ecchymosis
Failure to Thrive
Sphenoid Bone
Pupil Disorders
Sclera
Skull Base
Orbit
Physical Examination
Magnetic Resonance Spectroscopy
Neoplasm Metastasis
Biopsy
Brain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Raccoon Eyes and Neuroblastoma. / Timmerman, Robert.

In: New England Journal of Medicine, Vol. 349, No. 4, 24.07.2003, p. e4.

Research output: Contribution to journalArticle

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