An Unusual Postoperative Outcome in Posterior Fossa Surgery: Cerebellar Mutism Syndrome Case Report

Authors

Safae Dehbi  1 , Ismail Bouzekraoui  2 , Zakaria El Hernoussi  3 , Youssef Dahbi  4 , Abdelkader Benhlima  5 , Mohsin Doumiri  6 , Mourad Amor  7
Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 1 , Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 2 , Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 3 , Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 4 , Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 5 , Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 6 , Department of Anesthesiology and Intensive Care of the Specialities Hospital, IBN SINA University Hospital, MOHAMMED V University, Rabat, Morocco. 7
“crossref”/
Views: 18  
Downloads: 16  

##plugins.themes.bootstrap3.article.main##

Abstract

Background: Cerebellar mutism is an unusual complication of posterior fossa surgery, particularly within children, whose diagnosis in the postoperative period is delicate. Case Report: A 4-year-old child underwent surgery for a 4th ventricle medulloblastoma. Postoperatively, he developed total mutism with a lack of contact but appropriate reactions to external stimuli. Hypoglossal nerve damage led to persistent swallowing difficulties. Brain MRI showed no compressive elements or residual tumor. After one month, he gradually regained contact, initially with his mother and others. By the second month, he began speaking with dysarthria. Speech therapy led to significant improvement. Conclusion: This case report highlights the importance of early diagnosis of cerebellar mutism to ensure optimal management and improve prognosis. Its exact pathophysiology is still poorly specified in the literature. Postoperative rehabilitation is the cornerstone of treatment, knowing that certain medications have been tested but without great efficiency.

##plugins.themes.bootstrap3.article.details##

An Unusual Postoperative Outcome in Posterior Fossa Surgery: Cerebellar Mutism Syndrome Case Report. (2025). Annals of Medicine and Medical Sciences, 303-305. https://doi.org/10.5281/
Case Report

Copyright (c) 2025 Safae Dehbi, Ismail Bouzekraoui, Zakaria El Hernoussi, Youssef Dahbi, Abdelkader Benhlima, Mohsin Doumiri, Mourad Amor

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.

[1] Marina Pitsika, Vassilios Tsitouras. Cerebellar mutism. J Neurosurg Pediatrics. 2013;12:604–614.

[2] Coriene E. Catsman-Berrevoets. Cerebellar mutism syndrome: cause and rehabilitation. curr Opin Neurol. 2017;30:133–139.

[3] Gudrunardottir T, Morgan AT, Lux AL, Walker DA, Walsh KS, Wells EM, Wisoff JH, et al. Iceland Delphi Group. Consensus paper on post-operative pediatric cerebellar mutism syndrome: the Iceland Delphi results. Childs Nerv Syst. 2016;32(7):1195-203.

[4] K. Radhouane, S. Achoura, A. Harbaoui, H. Ammar, M. Yedeas, R. Chkili. Le mutisme cérébelleux « entité rare ou sous-estimée ». Revue de neurochirurgie, Elsevier Masson. 2018;64:3.

[5] Reiko Ashida, Naadir Nazar, Richard Edwards, Mario Teo. Cerebellar Mutism Syndrome: An Overview of the Pathophysiology in Relation to the Cerebrocerebellar Anatomy, Risk Factors, Potential Treatments, and Outcomes. WORLD NEUROSURGERY. 2021;153: 63-74.

[6] Fabozzi F, Margoni S, Andreozzi B, Musci MS, Del Baldo G, Boccuto L, Mastronuzzi A and Carai A. Cerebellar mutism syndrome: From pathophysiology to rehabilitation. Front Cell Dev Biol. 2022;10:1082947.

Similar Articles

1-10 of 23

You may also start an advanced similarity search for this article.