Transient cerebellar mutism caused by bilateral damage to the dentate nuclei after the second posterior fossa surgery. Case report

Journal of Neurosurgery
Yoshikazu KusanoKazuhiro Hongo

Abstract

The authors report on the case of a 6-year-old boy who underwent resection of a midline cerebellar tumor. The boy was able to speak fluently after the operation. Magnetic resonance (MR) imaging showed that the right dentate nucleus had been partially removed along with the tumor, but that the left dentate nucleus remained with the residual tumor. A second operation was performed to remove the residue, after which the child suffered mutism. Three weeks post-surgery, he could only communicate through gestures. He started speaking I week later and regained normal speech 2 months after the operation. Final MR imaging revealed gross-total removal of the tumor and dentate nucleus on the injured left side. The cerebellar mutism was considered to have been caused by bilateral damage to the dentate nuclei and not by unilateral damage.

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Citations

Nov 10, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Thora GudrunardottirKjeld Schmiegelow
Jul 3, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jeffrey G OjemannRichard G Ellenbogen
Jul 30, 2010·Neurosurgical Review·Ali Afshar-OromiehDietmar Krex
Dec 6, 2008·The Cerebellum·Maja Steinlin
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Feb 27, 2007·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Hyo Jung De SmetPhilippe F Paquier
Jul 6, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Zoltan Patay
Sep 10, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G TamburriniC Di Rocco
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Jun 23, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Narjes AhmadianE W Hoving

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