Mediastinal Ganglioneuroma

Abstract

CASE.-Girl, aged seven and one-half years, was admitted to Roosevelt Hospital, November I, 1930, with complaints of cough and fever, of one and a half years' duration. These symptoms occurred in attacks in which the patient coughed until breathless, raising a small amount of sputum. There was no vomiting, no night sweats, no loss of weight. The past history was negative. She had been immunized against diphtheria and vaccinated against small-pox. The present attack began two days before admission and was accompanied by fever, ranging from 99' to I04°. On examination the only positive findings were dry, squeaking rales over the entire chest. There was no evidence of consolidation.X-ray of the chest taken November 3 demonstrated a circular shadow of increased density occupying the extreme upper portion of the right lung field. The trachea was displaced to the left. A lateral view showed an anteroposterior diameter greater than that found in the posterior-anterior film. (Fig. i.) Physical examination in this zone showed increased dullness and decreased breath 827

Neurofibromatosis with Intrathoracic Neurofibromas

“…This tissue was most pronounced in the mid-upper arm where a hard mass was felt. 3. A partial paralysis of the median and ulnar nerves occurred on the right side with a corresponding atrophy of the thenar and hypothenar eminences.…”

“…I am indebted to Dr. E. D. Churchill for the operative note included in this paper, for permission to publish figure 3 and for help in the preparation of this paper. bers and to a greater degree than do adults.…”