PEDIATRICS Vol. 56 No. 1 July 1975, pp. 115-119
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Occult Recurrence of Nasopharyngeal Rhabdomyosarcoma Manifesting as Isolated Increased Intracranial Pressure

Michael R. Brown M.D.1, William E. Sherry M.D.1, John H. Menkes M.D.1, and Stephen A. Feig M.D.1

1 Gwynne Hazen Cherry Memorial Laboratory, the Departments of Pediatrics and Radiology, UCLA School of Medicine, and Brentwood Veterans Administration Hospital Los Angeles, California

In this paper we report a child who had extensive neoplastic infiltration of the meninges which defied clinical detection. We believe that any patient with a past or present history of tumor who presents with increased intracranial pressure should be presumed to have intracranial neoplastic involvement, even in the face of negative diagnostic studies. As in this case, other causes of increased pressure should be systematically intracranial excluded.