Publication: Cerebellar Mutism After Pineal Tumour Excision: A Case Report
Date
2011
Article Type
Case Report
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 124 - 126
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Cerebellar mutism syndrome (CMS) was first described by Rekate et al in 1985. This syndrome is a common complication of posterior fossa surgery in children with range of 11-29% and usually manifests as diminished speech, hypotonia, and ataxia. The cause is due to bilateral pertubation of the dentate nuclei and their efferent pathways by edema, perfusional defects, axonal damage or metabolic disturbances. Other rare causes of CMS like acute subdural hematoma of the posterior fossa, head injury, brainstem glioma surgery, meningitis and basilar artery occlusion have also been reported. CMS after supracerebellar resection of the pineal tumor is a very rare with very few cases reported. We report such a case in a 10- year old boy who underwent excision of a pineal tumor through the infratentorial supracerebellar route.
Description
Yam Bahadur Roka
Chief of Neurosurgery, Neuro Hospital, Biratnagar-13
Manzil Shrestha
Chief Anaesthesiologist, Neuro Hospital, Biratnagar-13 Nepal
Pushpa Raj Puri
Medical Officer, Neuro Hospital, Biratnagar-13 Nepal
Sameer Aryal
Medical Officer, Neuro Hospital, Biratnagar-13 Nepal
Keywords
Cerebellar mutism, hydrocephalus, pineal tumor, posterior fossa
Identifier
https://doi.org/10.3126/jnps.v31i2.4167