Postoperative Pediatric Cerebellar Mutism after Posterior Fossa Surgery

• Published in: A & A Case Reports
• Main Authors: Chao, Jerry Y., Liu, Che, Shetty, Naveen, Shah, Ushma
• Format: Text
• Language: English
• Published: 2017
• Subjects: Article; Fossa; Iceland
• Online Access: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391272/; http://www.ncbi.nlm.nih.gov/pubmed/28118217; https://doi.org/10.1213/XAA.0000000000000467

Cerebellar mutism syndrome (CMS) is a common complication of posterior fossa surgery that can confound the post-anesthetic exam and have long lasting impacts. There is confusion surrounding its precise description, diagnostic features and associated morbidity. Here we discuss the most up to date knowledge of CMS drawing from a clinical case in the context of three new reports: (1) an international consensus paper presenting a new proposed working definition by the Iceland Delphi Group1, (2) a knowledge update by Gadgil et al2 (3) and a review of neuroimaging-based data elucidating the etiology of CMS by Patay3.