Child with stiff gait: an unusual presentation of rare childhood ganglioneuroma of posterior mediastinum

Ganglioneuroma, a rare benign tumour representative of Peripheral Neuroblastic Tumour(PNT) usually affect older children (1,2). It is predominantly localised in thoracic region but may occur at any site like intra-abdominal or retropharyngeal spaces along the occurrences of sympathetic ganglion. It may arise de novo or from a neuroblastoma either spontaneously or after chemotherapy. (3) The prognosis is excellent, as the surgical excision is often curative. Chemotherapy and radiotherapy have little role in its management. Here we present a young child of 5years and 3 months presented with posterior mediastinal Ganglioneuroma without any respiratory symptoms but with musculoskeletal problems like lower back pain and stiff gait.