Neurobehavioral abnormalities after posterior fossa surgery in children

摘要: At least 10% of children who undergo resection a cerebellar vermian tumor experience so-called 'posterior fossa syndrome' that begins 16 days postoperatively and gradually resolves over months in most cases. The common feature this syndrome is mutism, often referred to as 'cerebellar' mutism. In reality, mutism comprises only one component much more complex neurobehavioral symptom complex, which can include oropharyngeal dyspraxia, impaired initiation voluntary movements, oculomotor apraxia, incontinence, emotional lability bizarre personality changes. review, the clinical features, neuroanatomic substrate, possible pathogenic processes, implications for patient care are reviewed light our with large case series undergoing resections tumors other reports literature. evidence from posterior support an important role cerebellum and/or its afferent efferent ...