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.
| Original language | English |
|---|---|
| Journal | Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery |
| Volume | 39 |
| Issue number | 8 |
| Pages (from-to) | 2201-2213 |
| Number of pages | 13 |
| ISSN | 0256-7040 |
| DOIs | |
| Publication status | Published - Aug 2023 |
Keywords
- Arteriovenous malformation
- Cerebellar haemorrhage
- Cerebellar mutism syndrome
- Posterior fossa syndrome
- Postoperative vasospasms
- Cerebellar Neoplasms/complications
- Humans
- Brain Neoplasms/surgery
- Cerebellar Diseases/complications
- Postoperative Complications/diagnostic imaging
- Mutism/etiology
- Syndrome
- Infratentorial Neoplasms/complications
- Female
- Hydrocephalus/diagnostic imaging
- Child