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Titolo:
TRANSIENT MUTISM FOLLOWING POSTERIOR-FOSSA SURGERY IN CHILDREN
Autore:
ALJARALLAH A; COOK JD; GASCON G; KANAAN I; SIGUEIRA E;
Indirizzi:
KING FAISAL SPECIALIST HOSP & RES CTR,DEPT PEDIAT MBC58,POB 3354 RIYADH 11211 SAUDI ARABIA KING FAISAL SPECIALIST HOSP & RES CTR,DEPT NEUROSCI RIYADH 11211 SAUDI ARABIA
Titolo Testata:
Journal of surgical oncology
fascicolo: 2, volume: 55, anno: 1994,
pagine: 126 - 131
SICI:
0022-4790(1994)55:2<126:TMFPSI>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
CEREBELLAR ORIGIN; MUTENESS;
Keywords:
MUTISM; POSTERIOR FOSSA SURGERY; CEREBELLUM; CHILDREN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
11
Recensione:
Indirizzi per estratti:
Citazione:
A. Aljarallah et al., "TRANSIENT MUTISM FOLLOWING POSTERIOR-FOSSA SURGERY IN CHILDREN", Journal of surgical oncology, 55(2), 1994, pp. 126-131

Abstract

We report 3 patients, ages 5, 9 and 13 years, with mutism following posterior fossa surgery (PFS). All presented with headache of 10-180 days duration, excellent premorbid learning performance and paucity of neurologic signs. Radiographic studies demonstrated large posterior fossa tumor occupying the fourth ventricle, and hydrocephalus, leading togross total resection of the tumor. Within 24-48 hr, all patients were mute. None had problems with swallowing and coughing. All were able to nod ''yes or no,'' follow commands, point to body parts, and make their wants known by gestures. Jaw, gag, snout and palmomental reflexeswere normal. CT scan and MRI Brain showed no cerebral hemispheric lesions. All children regained speech although dysarthric, within 5-12 weeks. Twenty-two previously reported cases are similar to ours. We conclude that this postsurgical mutism syndrome is unique and must be differentiated from aphemia, Broca's aphasia, hysterical mutism and elective mutism. The cerebellum, in a way not yet understood, does play a role in speech production. (C) 1994 Wiley-Liss, Inc.

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Documento generato il 13/07/20 alle ore 18:05:49