Known case of neuroblastoma referred for vomiting
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There are multiple lytic metastases involving left greater sphenoid wing, left frontal bone and left inferomedial wall of orbital bone with spiculated periostitis ( hair-on-end). The mass at left frontal bone has extradural component.
These masses are related to multiple metastatic neuroblastoma.
Craniocerebral neuroblastoma metastases usually involve the calvaria, orbits, skull base and the dura.
- spiculated periorbital bone mass, typically involving the roof or lateral wall/sphenoid wings
- "hair on end" spiculated periostitis of orbits and skull usually associated with bone destruction
- sutural separation: non-uniform sutural separation with indistinct sutures margins
- cranial metastasis nearly always extradural (may mimic epidural or subdural hematoma)