Images in Neuroscience: Question
Proptosis in a previously well five-year-old boy

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Clinical background

A five-year-old boy presented with a one-week history of left-sided proptosis and retro orbital pain, with no prior medical or surgical history. On examination, there was left-sided proptosis with no visual field defect or other neurological abnormality. Full blood count, electrolytes and inflammatory markers were unremarkable.

A non-contrast CT brain was performed (Fig. 1).

What is the most likely diagnosis?

  • A.

    Lymphoma

  • B.

    Optic glioma

  • C.

    Meningioma

  • D.

    Neuroblastoma metastasis

  • E.

    Rhabdomyosarcoma

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