The evaluation and comparison of cerebellar mutism in children and adults after posterior fossa surgery: Report of two adult cases and review of the literature

ILDAN F., TUNA M., Erman T., GOCER A. İ., ZEREN M., CETINALP E.

ACTA NEUROCHIRURGICA, vol.144, no.5, pp.463-473, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 144 Issue: 5
  • Publication Date: 2002
  • Doi Number: 10.1007/s007010200067
  • Journal Name: ACTA NEUROCHIRURGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.463-473
  • Keywords: adult, cerebellar mutism, child, posterior fossa surgery, TRANSIENT MUTISM, SUBSEQUENT DYSARTHRIA, PSEUDOBULBAR SYMPTOMS, TUMORS, RESECTION, PATHOPHYSIOLOGY, MEDULLOBLASTOMA, REMOVAL, CHILDHOOD, LESIONS
  • Çukurova University Affiliated: Yes

Abstract

Background. Although there are some cases of cerebellar mutism, in adults after posterior fossa surgery for cerebellar tumour it generally occurs in children. Reversible pathophsiology and the anatomical substrate of this syndrome still remain unclear. The predominance of cerebellar mutism in children is suggested to be related to the higher incidence of posterior fossa tumours in children. However, the question regarding the reason for the obvious difference in the incidence of this syndrome between the paediatric and adult population still remaing unanswered. The aim of this study was to evaluate and compare children and adult groups separately to understand the incidence and the clinical characteristics better and to elucidate the pathophysiological basis and predictive factors for this syndrome.