Atypical presentation of a high-grade astrocytoma in a pediatric rheumatology Practice

Abstract

Introduction. Hip pain is common in childhood. The main dilemma is to differentiate between benign conditions and those causing significant morbidity and mortality.

Material and methods. A clinical case report of a toddler presenting with Musculoskeletal (MSK) mask due to a brain tumor.

Results. A 2-year-old boy presented to the ER complaining of hip pain, muscle weakness, and limping.  The neurologic exam showed no abnormalities. At the 3^rd day of admission, patient condition worsened, and papillary edema was revealed. MRI revealed a tumor in the suprasellar cistern/prepons region. 

Conclusions. In case of atypical MSK symptoms, a careful evaluation of children should be carried out to prevent any delay in diagnosis.