Cerebellar Mutism After Posterior Fossa Tumor Resection

Ross, Sarah G.; Northman, Lisa; Morris, Marybeth; Green, Adam L.; Ullrich, Nicole J.

doi:10.1177/1043454213518975

Cited by 9 publications

(3 citation statements)

References 21 publications

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“…Many patients may need educational support. Individualized Educational Plans (IEP) are often required when patients return to school post treatment [42]. …”

Section: Interventional Proceduresmentioning

confidence: 99%

Management of Pediatric and Adult Patients with Medulloblastoma

Martin

Raabe

Eberhart

et al. 2014

Curr. Treat. Options in Oncol.

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“…Many patients may need educational support. Individualized Educational Plans (IEP) are often required when patients return to school post treatment [42]. …”

Section: Interventional Proceduresmentioning

confidence: 99%

Management of Pediatric and Adult Patients with Medulloblastoma

Martin

Raabe

Eberhart

et al. 2014

Curr. Treat. Options in Oncol.

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“…While there is a range of the severity of this syndrome, the child can develop mutism, hypotonia, emotional lability, and neurocognitive impairment. 12 There is no treatment protocol and recovery varies. Zolpidem has been used successfully to increase wakefulness, accelerate the resolution of the mutism and improve the irritability.…”

Section: Treatmentmentioning

confidence: 99%

Improving Care in Pediatric Neuro-oncology Patients

et al. 2015

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Brain tumors represent the most common solid tumors in childhood, accounting for almost 25% of all childhood cancer, second only to leukemia. Childhood CNS tumors encompass a wide variety of diagnoses, from benign to malignant. Any brain tumor can be associated with significant morbidity, even when low grade, and mortality from childhood CNS tumors is disproportionately high compared to other childhood malignancies. Management of children with CNS tumors requires knowledge of the unique aspects of care associated with this particular patient population, beyond general oncology care. Pediatric brain tumor patients have unique needs during treatment, as cancer survivors, and at end of life. A multidisciplinary team approach, including advanced practice nurses with a specialty in neuro-oncology, allows for better supportive care. Knowledge of the unique aspects of care for children with brain tumors, and the appropriate interventions required, allows for improved quality of life.

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“…Many families voice anguish over having gone through surgery for a benign low-grade tumor, or even a high-grade tumor followed by months of therapy including radiation, chemotherapy, and its side effects, only to suffer through ongoing daily, life-altering symptoms of CMS. Patients and families experience anxiety and feel ill-prepared for this journey (Ross et al, 2014). Health care professionals provide support and education for children with CMS and their families.…”

Section: Introductionmentioning

confidence: 99%

Cerebellar Mutism Syndrome in Children After Surgery for a Posterior Fossa Tumor: Patient Characteristics and Recovery

Hansen

Bendel

Blabolil

et al. 2022

Journal of Pediatric Hematology/Oncology Nursing

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Background: Cerebellar mutism syndrome (CMS) is a potential complication that may be experienced by children undergoing a resection of a posterior fossa tumor. Symptoms include mutism and emotional lability; additional symptoms may include hypotonia, difficulty swallowing, ataxia, and changes in cognition. The recovery of children experiencing CMS symptoms can be variable. In this retrospective chart review study, we identified the presenting characteristics of CMS in a cohort of children and compared them to matched-controls who did not develop CMS and examined recovery patterns during the year after diagnosis. Methods: Patients were identified through the program database. Children between ages 3 and 18 years who had a craniotomy for a posterior fossa tumor at our institution were included. For each CMS case, two control cases were selected to match the type of central nervous system tumor, sex, age group, and surgery date. Patient characteristics were abstracted from the patient's electronic medical record and the CMS survey was used to score CMS cases. Results: Seventeen children with CMS and 34 children without CMS were included in the review. Among children with CMS, 53% experienced mutism for less than 4 weeks; ataxia persisted beyond 4 weeks for more than 88% of the children and was still present in 71% 1 year after diagnosis. Clinical characteristics did not differ between the case and control groups. Discussion: CMS symptoms interfere with the child's quality of life and ongoing development. Study findings inform nurses providing anticipatory guidance and support to patients experiencing CMS and their families.

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Cerebellar Mutism After Posterior Fossa Tumor Resection

Cited by 9 publications

References 21 publications

Management of Pediatric and Adult Patients with Medulloblastoma

Management of Pediatric and Adult Patients with Medulloblastoma

Improving Care in Pediatric Neuro-oncology Patients

Cerebellar Mutism Syndrome in Children After Surgery for a Posterior Fossa Tumor: Patient Characteristics and Recovery

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