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Postoperative Pediatric Cerebellar Mutism After Posterior Fossa Surgery: A Case Report

Chao, Jerry Y. MD; Liu, Che BS; Shetty, Naveen BA; Shah, Ushma MD

doi: 10.1213/XAA.0000000000000467
Case Reports: Case Report

Cerebellar mutism syndrome (CMS) is a common complication of posterior fossa surgery that can confound the postanesthetic examination and have long-lasting impacts. There is confusion surrounding its precise description, diagnostic features, and associated morbidity. Here, we discuss the most up-to-date knowledge of CMS drawing from a clinical case in the context of 3 new reports: (1) an international consensus paper presenting a new proposed working definition by the Iceland Delphi Group, (2) a knowledge update by Gadgil et al, (3) and a review of neuroimaging-based data elucidating the etiology of CMS by Patay.

From the *Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York; and Department of Anesthesiology, Rutgers University–Robert Wood Johnson University Hospital, New Brunswick, New Jersey.

Accepted for publication October 21, 2016.

Funding: This manuscript was supported by National Institutes of Health/National Center for Advancing Translational Science (NCATS) Einstein-Montefiore CTSA Grant Number UL1TR001073.

The authors declare no conflicts of interest.

Address correspondence to Jerry Y. Chao, MD, Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467. Address e-mail to jerry.chao@med.einstein.yu.edu.

© 2017 International Anesthesia Research Society
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