Cerebellar mutism syndrome of non-tumour surgical aetiology—a case report and literature review

Aske Foldbjerg Laustsen*, Malene Landbo Børresen, John Hauerberg, Marianne Juhler

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

4 Citationer (Scopus)
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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.
OriginalsprogEngelsk
TidsskriftChild's Nervous System
Vol/bind39
Udgave nummer8
Sider (fra-til)2201-2213
Antal sider13
ISSN0256-7040
DOI
StatusUdgivet - 2023

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© 2023, The Author(s).

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