Cerebellar Mutism After Pineal Tumour Excision: A Case Report

Authors

  • Yam Bahadur Roka Chief of Neurosurgery, Neuro Hospital, Biratnagar-13
  • Manzil Shrestha Chief Anaesthesiologist, Neuro Hospital, Biratnagar-13 Nepal
  • Pushpa Raj Puri Medical Officer, Neuro Hospital, Biratnagar-13 Nepal
  • Sameer Aryal Medical Officer, Neuro Hospital, Biratnagar-13 Nepal

DOI:

https://doi.org/10.3126/jnps.v31i2.4167

Keywords:

Cerebellar mutism, hydrocephalus, pineal tumor, posterior fossa

Abstract

Cerebellar mutism syndrome (CMS) was first described by Rekate et al in 1985. This syndrome is a common complication of posterior fossa surgery in children with range of 11-29% and usually manifests as diminished speech, hypotonia, and ataxia. The cause is due to bilateral pertubation of the dentate nuclei and their efferent pathways by edema, perfusional defects, axonal damage or metabolic disturbances. Other rare causes of CMS like acute subdural hematoma of the posterior fossa, head injury, brainstem glioma surgery, meningitis and basilar artery occlusion have also been reported. CMS after supracerebellar resection of the pineal tumor is a very rare with very few cases reported. We report such a case in a 10- year old boy who underwent excision of a pineal tumor through the infratentorial supracerebellar route.

Key Words: Cerebellar mutism; hydrocephalus; pineal tumor; posterior fossa.

DOI: 10.3126/jnps.v31i2.4167

J Nep Paedtr Soc 2010;31(2):124-126  

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Published

2011-05-06

How to Cite

Roka, Y. B., Shrestha, M., Puri, P. R., & Aryal, S. (2011). Cerebellar Mutism After Pineal Tumour Excision: A Case Report. Journal of Nepal Paediatric Society, 31(2), 124–126. https://doi.org/10.3126/jnps.v31i2.4167

Issue

Vol. 31 No. 2 (2011)

Section

Brief Reports/Case Reports/Case Series

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