PDF(Pubmed)
Abstract：
Cerebellar mutism syndrome (CMS) is a well-known complication of posterior fossa (PF) tumour surgery. CMS has previously been reported in cases of non-tumour surgical aetiology in a limited number of publications. We report a case of a 10-year-old girl who suffered a cerebellar haemorrhage and subsequent CMS following surgical treatment of a ruptured arteriovenous malformation (AVM) in the cerebellar vermis. The AVM was removed acutely through a transvermian access, and hydrocephalus was treated with temporary external drainage. In the postoperative period, she suffered diffuse vasospasms of the anterior cerebral circulation and had a permanent shunt placed for hydrocephalus. Her mutism resolved after 45 days but severe ataxia persisted. To our knowledge, this is the first reported case of CMS related to a vermian haemorrhagic stroke with postoperative diffuse vasospasms. Based on this case, we present a literature review on CMS of non-tumour surgical origin in children.
摘要：
小脑mutism综合征（CMS）是后颅窝（PF）肿瘤手术的众所周知的并发症。CMS先前已在有限数量的出版物中报道了非肿瘤手术病因的情况。我们报告了一例10岁女孩的病例，该女孩在小脑部动静脉畸形（AVM）破裂的手术治疗后，出现了小脑出血和随后的CMS。AVM通过跨体访问被急剧删除，脑积水采用临时外引流治疗。在术后期间，她患有大脑前循环的弥漫性血管痉挛，并有永久性分流术用于脑积水。她的mutism在45天后解决，但严重的共济失调持续存在。据我们所知,这是首例报告的CMS病例,该病例与Vermian出血性卒中并伴有术后弥漫性血管痉挛有关.基于这个案子,我们对儿童非肿瘤外科起源的CMS进行了文献综述。
