Non-surgical transient cerebellar mutism-case report and systematic review

Childs Nerv Syst. 2018 Mar;34(3):535-540. doi: 10.1007/s00381-017-3643-3. Epub 2017 Oct 24.

Abstract

Introduction: Transient cerebellar mutism has been well recognized in literature as a complication of posterior fossa tumor resection. It is marked by profound impairment of fluency, articulation, and modulation of speech, irritability and autistic features and typically resolves within days to months. Underlying pathophysiology is debated, but currently unknown.

Methods: We present a case of a child with similar clinical findings after cerebellitis, demonstration of diffuse cerebellar signal changes, swelling, and protruding tonsils at the level of foramen magnum.

Discussion: To support the hypothesis that this clinical syndrome may occur in a non-surgical context, we present a review of literature of non-surgical transient cerebellar mutism.

Keywords: Cerebellar; Cerebellitis; Mutism; Transient.

Publication types

  • Case Reports
  • Systematic Review

MeSH terms

  • Brain Edema / complications
  • Brain Edema / diagnostic imaging
  • Cerebellar Diseases / complications
  • Cerebellar Diseases / diagnostic imaging*
  • Child
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods
  • Mutism / diagnostic imaging*
  • Mutism / etiology
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / etiology