TY - JOUR
T1 - Cerebellar mutism syndrome of non-tumour surgical aetiology
T2 - a case report and literature review
AU - Laustsen, Aske Foldbjerg
AU - Børresen, Malene Landbo
AU - Hauerberg, John
AU - Juhler, Marianne
N1 - © 2023. The Author(s).
PY - 2023/8
Y1 - 2023/8
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
KW - Cerebellar Neoplasms/complications
KW - Humans
KW - Brain Neoplasms/surgery
KW - Cerebellar Diseases/complications
KW - Postoperative Complications/diagnostic imaging
KW - Mutism/etiology
KW - Syndrome
KW - Infratentorial Neoplasms/complications
KW - Female
KW - Hydrocephalus/diagnostic imaging
KW - Child
UR - http://www.scopus.com/inward/record.url?scp=85158030347&partnerID=8YFLogxK
U2 - 10.1007/s00381-023-05947-8
DO - 10.1007/s00381-023-05947-8
M3 - Review
C2 - 37140666
SN - 0256-7040
VL - 39
SP - 2201
EP - 2213
JO - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
JF - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
IS - 8
ER -