Cereberal Mutism after Resecti on of a Medulloblastoma –  a Case Report

Authors: T. Radovnický;  M. Sameš
Authors‘ workplace: Ne urochirurgická klinika Univerzity J. E. Purkyně, Masarykova nemocnice, Ústí nad Labem
Published in: Cesk Slov Neurol N 2008; 71/104(4): 483-486
Category: Case Report


Cerebellar mutism is a rare complicati on after posteri or fossa surgery, it typically appe ars in pati ents in childho od and is usu ally transi ent. The pathophysi ology behind cerebellar mutism still remains uncle ar. The a uthors present a case study of cerebellar mutism after resecti on of a medulloblastoma of the cerebellar vermis, it has not been published in Czech literature yet. The aim of o ur case report is to call attenti on to this interesting disorder and to summarize present findings on the mechanisms of development of ce­rebellar mutism.

Key words:
cerebellar mutism –  cerebellar vermis –  medulloblastoma


1. Hirsch JF, Reni er D, Czernichow P, Benveniste L, Pi erre-Kahn A. Medulloblastoma in childho od: Survival and functi onal results. Acta Ne urochir 1979; 48(1– 2): 1– 15.

2. Ildan F, Tuna M, Erman T, Göçer AI, Zeren M, Çetinalp E. The evalu ati on and comparison of cerebellar mutism in children and adults after posteri or fossa surgery: report of two adult cases and revi ew of the literature. Acta Ne urochir 2002; 144(5): 463– 473.

3. Dailey AT, McKhann GM, Berger MS. The pathophysi ology of oral pha­rynge al appraxi a and mutism following posteri or fossa tumor resecti on in children. J Ne urosurg 1995; 83(3): 467– 475.

4. Pollack IF, Polinko P, Albright AL, Towbin R, Fitz C. Mutism and pse udobulbar symptoms after resecti on of posteri or fossa tumors in children: incidence and pathophysi ology. Ne urosurgery 1995; 37(5): 885– 893.

5. Frai oli B, Guidetti B. Effect of stereotactic lesi ons of the dentate nucle us of the cerebellum in man. Appl Ne urophysi ol 1975; 38(1): 80– 90.

6. Erşahin Y, Mutluer S, Saydam S, Barcin E. Cerebellar mutism: report of two unusu al cases and revi ew of the literature. Clin Ne urol and Ne urosurg 1997; 99(2): 130– 134.

7. Kingma A, Mo o ij JJ, Metzemaekers JDM, Lee uw JA. Transi ent mutism and speech disorders after posteri or fossa surgery in children with brain tumors. Acta Ne urochir 1994; 131(1– 2): 74– 79.

8. Crutchfi eld JS, Sawaya R, Meyers CA, Mo ore BD. Postoperative mutism in ne urosurgery. Report of two cases. J Ne urosurg 1994; 81(1): 115– 121.

9. Suman R, Bushan JV, Chandrashekar K. Cervico medullary juncti on lipoma ca using transi ent cerebellar mutism: an ucommon presentati on of a rare conditi on [online]. The Internet Jo urnal of Ne ursurgery 2006; 3(2). Dostupné z: <http:/ / www.ispub.com/ osti a/ index.php?xmlFilePath=jo urnals/ ijns/ vol3n2/  lipoma.xml>.

10. Van Calenbergh F, Van De Laar A, Plets Ch, Goffin J, Casaer P. Transi ent cerebellar mutism after posteri or fossa surgery in children. Ne urosurgery 1995; 37(5): 894– 898.

11. Mussi AC, Rhoton AL jr. Telovelar appro ach to the fo urth ventricle: microsurgical anatomy. J Ne urosurg 2000; 92(5): 812– 823.

Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

Issue 4

2008 Issue 4

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