Cerebellar mutism syndrome of non-tumour surgical aetiology-a case report and literature review.
Childs Nerv Syst
; 39(8): 2201-2213, 2023 08.
Article
em En
| MEDLINE
| ID: mdl-37140666
ABSTRACT
Cerebellar mutism syndrome (CMS) is a well-known complication of posterior fossa (PF) tumour surgery. CMS has previously been reported in cases of non-tumour surgical aetiology in a limited number of publications. We report a case of a 10-year-old girl who suffered a cerebellar haemorrhage and subsequent CMS following surgical treatment of a ruptured arteriovenous malformation (AVM) in the cerebellar vermis. The AVM was removed acutely through a transvermian access, and hydrocephalus was treated with temporary external drainage. In the postoperative period, she suffered diffuse vasospasms of the anterior cerebral circulation and had a permanent shunt placed for hydrocephalus. Her mutism resolved after 45 days but severe ataxia persisted. To our knowledge, this is the first reported case of CMS related to a vermian haemorrhagic stroke with postoperative diffuse vasospasms. Based on this case, we present a literature review on CMS of non-tumour surgical origin in children.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Encefálicas
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Neoplasias Infratentoriais
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Doenças Cerebelares
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Neoplasias Cerebelares
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Hidrocefalia
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Mutismo
Tipo de estudo:
Etiology_studies
Limite:
Child
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Female
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Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article