Mutism after posterior fossa surgery in children. Report of three cases.

Abstract:

:Three patients aged 5 1/2 to 9 years old with mutism after posterior fossa surgery are presented. The entity is discussed with a review of 15 additional previously reported cases in children aged 2 to 11 years. In all 18 patients, a large midline tumor of the posterior fossa (medulloblastoma in nine cases, astrocytoma in five, and ependymoma in four), often attached to one or both lateral recesses of the fourth ventricle, was removed. Mutism developed 18 to 72 hours after the operation (mean 41.5 hours) in patients with no disturbance of consciousness and no deficits of the lower cranial nerves or of the organs of phonation. All of these children had spoken in the first hours after surgery. The disorder lasted from 3 to 16 weeks (mean 7.9 weeks). Speech was regained after a period of dysarthria in six of the 10 cases for whom this information was available. The various hypotheses advanced to explain the pathogenesis of this speech disorder are analyzed.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Ferrante L,Mastronardi L,Acqui M,Fortuna A

doi

10.3171/jns.1990.72.6.0959

subject

Has Abstract

pub_date

1990-06-01 00:00:00

pages

959-63

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

72

pub_type

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