Transient mutism and speech disorders after posterior fossa surgery in children with brain tumours

A Kingma, J J Mooij, J D Metzemaekers, J A Leeuw

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    Abstract

    Four patients aged 5 to 9 years with large tumours located in the posterior fossa (PNET, ependymoma or astrocytoma) are presented. Patients received standard neuropsychological assessments, including speech evaluation, prior to surgery. Following tumour resection, these 4 children developed transient mutism or different types of speech and cognitive disorders, associated with behavioural disturbances. We describe course and results of repeated postoperative neurological and neuropsychological evaluations. Full recovery of speech was seen in 3 out of 4 patients; the only child with persistent symptoms was the one who already had neuropsychological deficits before surgery. However, despite fast recovery of the speech disorders more persistent behavioural problems were found in 3 out of 4 patients. Possible pathogenesis anatomical location of this "cerebellar speech syndrome" are discussed, as well as the relevance of repeated neuropsychological assessments.

    Original languageEnglish
    Pages (from-to)74-9
    Number of pages6
    JournalActa Neurochirurgica
    Volume131
    Issue number1-2
    DOIs
    Publication statusPublished - 1994

    Keywords

    • Astrocytoma/diagnosis
    • Cerebellar Neoplasms/diagnosis
    • Cerebral Ventricle Neoplasms/diagnosis
    • Child
    • Child, Preschool
    • Ependymoma/diagnosis
    • Humans
    • Ischemic Attack, Transient/diagnosis
    • Male
    • Mutism/diagnosis
    • Neuroectodermal Tumors, Primitive/diagnosis
    • Neuropsychological Tests
    • Postoperative Complications/diagnosis
    • Speech Disorders/diagnosis

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