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Cerebellar mutism syndrome: the importance of preoperative language assessment

Children undergoing surgical removal of tumors in the posterior cranial fossa can encounter a varied and complex constellation of neurological symptoms, called cerebellar mutism, defined as a disturbance in the planning and programming of motor language with preserved understanding, behavioral disor...

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Autores principales: Catelan, S., Santini, B., Sala, F., Feletti, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9522841/
https://www.ncbi.nlm.nih.gov/pubmed/35338372
http://dx.doi.org/10.1007/s00381-022-05497-5
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author Catelan, S.
Santini, B.
Sala, F.
Feletti, A.
author_facet Catelan, S.
Santini, B.
Sala, F.
Feletti, A.
author_sort Catelan, S.
collection PubMed
description Children undergoing surgical removal of tumors in the posterior cranial fossa can encounter a varied and complex constellation of neurological symptoms, called cerebellar mutism, defined as a disturbance in the planning and programming of motor language with preserved understanding, behavioral disorders such as inattention, visual-spatial disorganization, personality change, as well as ataxia and dysmetria. In the last years, several groups have been trying to establish risk factors or even predictive scores in order to be able at least in part to predict the appearance of speech disorders before surgery. We report on a child with pilocytic astrocytoma of the cerebellar vermis who had already been diagnosed with developmental linguistic delay two years earlier. This disorder initially worsened after surgery and later improved in the following 12 months. The aim of this paper is to emphasize the importance of preoperative neuropsychological evaluation. The present case, along with those reported in the literature, suggests that the risk of long-term cerebellar mutism is higher in children with preoperative speech disorders. In these patients a thorough assessment of cognitive and linguistic functions is therefore necessary to better evaluate the risk of cerebellar mutism after surgery.
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spelling pubmed-95228412022-10-01 Cerebellar mutism syndrome: the importance of preoperative language assessment Catelan, S. Santini, B. Sala, F. Feletti, A. Childs Nerv Syst Case Report Children undergoing surgical removal of tumors in the posterior cranial fossa can encounter a varied and complex constellation of neurological symptoms, called cerebellar mutism, defined as a disturbance in the planning and programming of motor language with preserved understanding, behavioral disorders such as inattention, visual-spatial disorganization, personality change, as well as ataxia and dysmetria. In the last years, several groups have been trying to establish risk factors or even predictive scores in order to be able at least in part to predict the appearance of speech disorders before surgery. We report on a child with pilocytic astrocytoma of the cerebellar vermis who had already been diagnosed with developmental linguistic delay two years earlier. This disorder initially worsened after surgery and later improved in the following 12 months. The aim of this paper is to emphasize the importance of preoperative neuropsychological evaluation. The present case, along with those reported in the literature, suggests that the risk of long-term cerebellar mutism is higher in children with preoperative speech disorders. In these patients a thorough assessment of cognitive and linguistic functions is therefore necessary to better evaluate the risk of cerebellar mutism after surgery. Springer Berlin Heidelberg 2022-03-25 2022 /pmc/articles/PMC9522841/ /pubmed/35338372 http://dx.doi.org/10.1007/s00381-022-05497-5 Text en © The Author(s) 2022, corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Catelan, S.
Santini, B.
Sala, F.
Feletti, A.
Cerebellar mutism syndrome: the importance of preoperative language assessment
title Cerebellar mutism syndrome: the importance of preoperative language assessment
title_full Cerebellar mutism syndrome: the importance of preoperative language assessment
title_fullStr Cerebellar mutism syndrome: the importance of preoperative language assessment
title_full_unstemmed Cerebellar mutism syndrome: the importance of preoperative language assessment
title_short Cerebellar mutism syndrome: the importance of preoperative language assessment
title_sort cerebellar mutism syndrome: the importance of preoperative language assessment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9522841/
https://www.ncbi.nlm.nih.gov/pubmed/35338372
http://dx.doi.org/10.1007/s00381-022-05497-5
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