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The syndrome of 'cerebellar' mutism and subsequent dysarthria

Department of Neurology (Drs. van Dongen and Catsman-Berrevoets, and M. van Mourik), University Hospital Rotterdam-Dijkzigt, Rotterdam, The Netherlands.

"Cerebellar" mutism refers to a specific childhood disorder in which a complete but transient loss of speech, followed by dysarthria, occurs after removal of a cerebellar tumor. We present a consecutive series of 15 children with this disorder, which we prefer to designate "mutism and subsequent dysarthria." The conditions in which it develops suggest also an extracerebellar component of cerebellar mutism. Hydrocephalus at presentation, localization of tumor adjacent to the fourth ventricle, and postsurgical edema of the pontine tegmentum are involved in its development.

Address correspondence and reprint requests to Dr. H.R. van Dongen, Department of Neurology, University Hospital Rotterdam-Dijkzigt, dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.

Presented in part at the biannual meeting of the European Federation of Child Neurology Societies, Berne, June 23-26, 1993.

Received October 4,1993. Accepted in final form May 12,1994.

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