En fire år gammel jente med diaré, kraftsvikt og mutisme

Engan, Mette; Bjørlykke, John Asle; Moen, Gunnar; Lund, Kjetil Børve; Njølstad, Gro

doi:10.4045/tidsskr.16.0070

Cited by 1 publication

(1 citation statement)

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“…The most frequently reported causes were cerebellitis due to rotavirus ( n = 17 in 5 case reports [ 16 , 27 , 34 , 39 , 41 ] followed by cerebellitis or encephalopathy from influenza virus A/B ( n = 3 [ 19 , 38 , 42 ]), cerebellitis from varicella-zoster virus ( n = 2 [ 10 , 17 ]) and pneumococcal meningitis ( n = 1 [ 15 ]). In 10 cases (8 case reports [ 9 , 14 , 29 – 31 , 35 – 37 ]), cerebellitis and acute disseminated encephalomyelitis were described without an identified pathogen.…”

Section: Resultsmentioning

confidence: 99%

Cerebellar mutism syndrome of non-tumour surgical aetiology—a case report and literature review

et al. 2023

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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.

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