Compressive Myelopathy due to rare tumour - Ganglioneuroma

We report a rare case of ganglioneuroma causing dorsal compressive myelopathy. A 6 years old male child presented with progressive paraparesis of 2 months duration. Child had a swelling in the lower dorsal region of the back for past 2 years. Child had dull midback pain for the past one year which was not disturbing the childs routine activities. Investigation with magnetic resonance imaging (MRI) dorsal spine and whole spine screening showed posterior mediastinal and retroperitoneal paravertebral mass in the left lower dorsal level, extending into the spinal canal with compression of the cord. Patient underwent surgical excision of the mass and histopathological examination (HPE) revealed ganglioneuroma.