TY - JOUR
T1 - Cerebellar mutism syndrome of non-tumour surgical aetiology—a case report and literature review
AU - Laustsen, Aske Foldbjerg
AU - Børresen, Malene Landbo
AU - Hauerberg, John
AU - Juhler, Marianne
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Arteriovenous malformation
KW - Cerebellar haemorrhage
KW - Cerebellar mutism syndrome
KW - Posterior fossa syndrome
KW - Postoperative vasospasms
U2 - 10.1007/s00381-023-05947-8
DO - 10.1007/s00381-023-05947-8
M3 - Journal article
C2 - 37140666
AN - SCOPUS:85158030347
VL - 39
SP - 2201
EP - 2213
JO - Child's Nervous System
JF - Child's Nervous System
SN - 0256-7040
IS - 8
ER -