Editorial

Souweidane, Mark M.

doi:10.3171/2009.11.peds09369

Cited by 9 publications

(1 citation statement)

References 22 publications

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“…the posterior fossa syndrome (PFS) [9]. It has been reported in up to 40% of children following resection of cerebellar neoplasms [10,11] and is characterized by absent or abnormal speech, akinesia or ataxia, impaired attention and marked changes in mood [11].…”

Section: Introductionmentioning

confidence: 99%

Symptoms before and after Posterior Fossa Surgery in Pediatric Patients

Turkel

Krieger²,

O’Neil

et al. 2012

Pediatr Neurosurg

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The posterior fossa syndrome (PFS) is common after cerebellar tumor resection in pediatric patients. It is characterized by postoperative mutism and ataxia and associated with persistent abnormalities in mood and cognition. Method: A 2-year prospective study of children and adolescents with cerebellar tumors identified by neuroimaging was performed at the Children’s Hospital Los Angeles. Results: There were 8 girls and 14 boys in the study, aged 14 months to 17 years. The tumor sizes ranged from 2 to 6.5 cm in diameter. The patients presented with ataxia, headache, vomiting, depressed or irritable mood and inattention. Symptoms of PFS were present postoperatively in all except for the 2 patients with lateral tumors. The symptoms began before resection, were most prominent immediately after surgery, and improved over time. Neuropsychological assessment of 10 patients documented a persistent cognitive decrement. Conclusion: This small, descriptive study provides information on the natural history of pediatric posterior fossa tumors from before surgery through the postoperative period.

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Section: Introductionmentioning

confidence: 99%

Symptoms before and after Posterior Fossa Surgery in Pediatric Patients

Turkel

Krieger²,

O’Neil

et al. 2012

Pediatr Neurosurg

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Consensus paper on post-operative pediatric cerebellar mutism syndrome: the Iceland Delphi results

et al. 2016

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The consensus process was motivated by desire to further research and improve quality of life for pediatric brain tumor patients. The Delphi rounds identified relevant topics and established basic agreement, while face-to-face engagement helped resolve matters of conflict and refine terminology. The new definition is intended to provide a more solid foundation for future clinical and research work. It is thought as a consensus for moving forward and hopefully paves the way to developing a standard approach to this challenging problem with the advent of better scoring methods and ultimate goal of reducing the risk of CMS.

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