POSTERİOR FOSSA CERRAHİSİ SONRASI ÇOCUKLARDA GÖRÜLEN SEREBELLAR MUTİZM: OLGU SUNUMU

Year 2012, Volume: 75 Issue: 3, 50 - 52, 03.01.2013

Ahmet Özdilmaç , Halit Çavuşoğlu Ahmet Müslüman , Yunus Aydın

Abstract

Serebellar mutizm çocukluk çağında arka çukur tümörleri cerrahisinden sonra gelişebilen bir komplikasyon olarak oluşabileceği dökümante edilmiştir. Ayrıca vasküler ve dejeneratif hastalıklar da serebellar mutizm oluşumuna neden olabilmektedir. Bu durum genellikle 6 aylık bir zaman içerisinde düzelme göstermektedir. 11 yaşında erkek hasta baş ağrısı, bulantı ve kusma yakınması ile başvurdu. Posterior fossa da büyük (45x40x50mm) kitle tespit edildi. Ameliyat planlandı ve opere edildi. Postoperatif dönemde nörolojik defisiti yok idi. Postop üçüncü gün mutizm gelişti. Etyolojisi tam olarak bilinmemekle beraber, cerrahi sırasında serebellar nükleusların ve vermisin hasar görmesinin, vasküler spazm gelişmesinin bu kliniğin oluşumundan sorumlu olduğu düşünülmektedir. Bu olgumuzda çocuklarda posterior fossa tümörleri cerrahisi sonrası gelişen serebellar mutizm olgusu literatür ışığında incelenmiştir.

Keywords

kafa çukuru, arka, serebellar hastalıklar, mutizm

CEREBELLAR MUTISM FOLLOWING POSTERIOR FOSSA TUMOR RESECTION IN CHILDREN: CASE REPORT

Abstract

Serebellar mutism has been documented as a complication that could occur and develop after posterior fossa tumor surgery during childhood. Cerebellar mutism also may be caused by vascular and degenerative diseases. Disruption of speech in cerebellar mutism is usually temporary but some permenant cases may ocur. Mutism usually disappears in six months period. An 11 year old male patient was ad mitted with headache, nausea and vomiting. A large mass (45x40x50mm) has been identified in posterior fossa. An operation has been planned and carried out. There was no any neurologic deficit during postoperative period. Mutism has developed on third day postop. During surgery, injury to cerebellar nucleus and vermis and vascular spasm have been suggested but the etiology is not clear. In this case, development of cerebellar mutism after the operation of posterior fossa tumor in children has been discussed in light of literature.

Keywords

Cranial fossa, Posterior; Cerebellar diseases; Mutism

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• İstanbul Tıp Fakültesi Dergisi Cilt / Volume: 75 • Sayı / Number: 3• Yıl/Year: 2012