Cerebellar Mutism Syndrome in Pediatric Head Trauma with Cerebellar Injury

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2022 Jan 7

PMID 34993606

Citations 2

Authors

Anais Chivet

Isabelle Delestret

Celine Brodar

Matthieu Vinchon

Affiliations

Soon will be listed here.

Abstract

Purpose: Cerebellar mutism syndrome (CMS) after cerebellar injury in pediatric head trauma is a poorly recognized condition that is not properly diagnosed or treated in our daily practice. We aimed to clinically identify this syndrome after isolated posttraumatic cerebellar injury and to propose pathophysiological explanation.

Methods: We retrospectively analyzed 8 consecutive children presenting with isolated cerebellar injury over 16 years. Clinical presentation, radiological type and localization of injury, clinical initial CMS symptoms, and long-term neurocognitive outcome were reviewed.

Results: Out of 8 patients presenting with isolated traumatic cerebellar injury, we diagnosed 2 cases with initial clinical symptoms of CMS. Both patients had an injury damaging median structures of the posterior fossa, especially the fourth ventricle and dentate nuclei. Initial symptoms lasted more than 1 month for one patient, who still presented concentration difficulties almost 1 year after the head injury.

Conclusion: CMS after traumatic cerebellar injury does exist, even if it seems to be a very rare entity. It has to be better detected and studied in order to enrich pathophysiological knowledge about CMS of all etiologies and to bring our concerned patients the suitable follow-up and rehabilitative care that they could benefit from.

Citing Articles

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Sorek S, Miller A, Mathew V, Moawad S, Rahme R Cureus. 2023; 15(4):e37420.

PMID: 37182019 PMC: 10173022. DOI: 10.7759/cureus.37420.

Cerebellar mutism syndrome of non-tumour surgical aetiology-a case report and literature review.

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