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Titolo:
Tumour type and size are high risk factors for the syndrome of "cerebellar" mutism and subsequent dysarthria
Autore:
Catsman-Berrevoets, CE; Van Dongen, HR; Mulder, PGH; Geuze, DPY; Paquier, PF; Lequin, MH;
Indirizzi:
Univ Rotterdam Hosp, Sophia Childrens Hosp, Dept Child Neurol, NL-3000 CB Rotterdam, Netherlands Univ Rotterdam Hosp Rotterdam Netherlands NL-3000 CB terdam, Netherlands Univ Rotterdam Hosp, Sophia Childrens Hosp, Dept Child Neurosurg, NL-3000 CB Rotterdam, Netherlands Univ Rotterdam Hosp Rotterdam Netherlands NL-3000 CB terdam, Netherlands Univ Rotterdam Hosp, Sophia Childrens Hosp, Dept Child Radiol, NL-3000 CB Rotterdam, Netherlands Univ Rotterdam Hosp Rotterdam Netherlands NL-3000 CB terdam, Netherlands Erasmus Univ, Dept Epidemiol & Biostat, NL-3000 DR Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands NL-3000 DR DR Rotterdam, Netherlands Univ Antwerp, Sch Med, Dept Ear Nose & Throat Surg, B-2020 Antwerp, Belgium Univ Antwerp Antwerp Belgium B-2020 Throat Surg, B-2020 Antwerp, Belgium Erasme Univ Hosp, Dept Neurol, B-1070 Brussels, Belgium Erasme Univ Hosp Brussels Belgium B-1070 eurol, B-1070 Brussels, Belgium
Titolo Testata:
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
fascicolo: 6, volume: 67, anno: 1999,
pagine: 755 - 757
SICI:
0022-3050(199912)67:6<755:TTASAH>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTERIOR-FOSSA SURGERY; ACQUIRED DYSARTHRIA; CHILDREN; CHILDHOOD; RESECTION; PATHOPHYSIOLOGY; SYMPTOMS;
Keywords:
mutism and subsequent dysarthria; cerebellar tumour; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Catsman-Berrevoets, CE Univ Rotterdam Hosp, Sophia Childrens Hosp, Dept Child Neurol, POB 2060, NL-3000 CB Rotterdam, Netherlands Univ Rotterdam HospPOB 2060 Rotterdam Netherlands NL-3000 CB
Citazione:
C.E. Catsman-Berrevoets et al., "Tumour type and size are high risk factors for the syndrome of "cerebellar" mutism and subsequent dysarthria", J NE NE PSY, 67(6), 1999, pp. 755-757

Abstract

Objective-"Cerebellar mutis" and subsequent dysarthria (MSD) is a documented complication of posterior fossa surgery in children. In this prospectivestudy the following risk factors for MSD were assessed: type, size and site of the tumour; hydrocephalus at presentation and after surgery, cerebellar incision site, postoperative infection, and cerebellar swelling. Methods-In a consecutive series of 42 children with a cerebellar tumour, speech and neuroradiological studies (CT and MRT) were systematically analysed preoperatively and postoperatively. Speech was assessed using the Mayo Clinic Lists and the severity of dysarthria using the Michigan rating scale. Results-Twelve children (29%) developed MSD postoperatively. The type of tumour, midline localisation, and vermal incision were significant single independent risk factors. In addition, an interdependency of possible risk factors (tumour>5 cm, medulloblastoma) was found. Conclusion-MSD often occurs after paediatric cerebellar tumour removal andis most likely after removal of a medulloblastoma with a maximum lesion diameter>5 cm.

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Documento generato il 11/07/20 alle ore 21:04:13