Abnormal Brain MRI in a Case of Acute Ataxia as the Only Sign of Abdominal Neuroblastoma

Ataxia is a movement disorder that may manifest an acute, intermittent, non progressive or chronic progressive course. ataxia alone is rare as a paraneoplastic sign, especially if it is due to neuroblastoma (abdominal or chest). we report an abdominal neuroblastoma in a two-year-old girl presenting with only acute ataxia and abnormal neuroimaging. brain mri showed abnormal signal finding in the medulla, pons, corticospinal tract and the periventricular space. in the abdominal ct, a mass was detected in the right adrenal gland with calcification and the histopathologic examination re-vealed neuroblastoma. we suggest in children with acute ataxia, with or without opsoclonus-myoclonus, neuroblastoma should be considered.