Skip to main content
Top
Published in: Child's Nervous System 2/2006

01-02-2006 | Original Paper

Long-term effects of transient cerebellar mutism after cerebellar astrocytoma or medulloblastoma tumor resection in childhood

Authors: Joelene F. Huber, Kim Bradley, Brenda J. Spiegler, Maureen Dennis

Published in: Child's Nervous System | Issue 2/2006

Login to get access

Abstract

Background

Following cerebellar tumor resection, some patients develop transient cerebellar mutism (TCM). Although the mutism resolves, it is not known whether there are long-term motor speech deficits in patients with TCM that are in excess of those in individuals with cerebellar tumors who had not developed postoperative TCM.

Methods

Long-term survivors of cerebellar tumors resected in childhood who developed TCM were matched to survivors without TCM and to controls. Speech samples were formally analyzed by two speech pathologists.

Results

Tumor survivors who had TCM had significantly more ataxic dysarthric speech and slower speech than either those without TCM or controls and were more dysfluent than controls. Tumor survivors without TCM did not differ from controls on ataxic dysarthria or speech rate.

Conclusions

Survivors who had TCM showed more speech deficits than controls or survivors without TCM. The data suggest that speech deficits are chronic if not permanent sequelae of TCM.
Literature
1.
go back to reference Ammirati M, Mirzai S, Samii M (1989) Transient mutism following removal of a cerebellar tumor. Child’s Nerv Syst 5:12–14CrossRef Ammirati M, Mirzai S, Samii M (1989) Transient mutism following removal of a cerebellar tumor. Child’s Nerv Syst 5:12–14CrossRef
2.
go back to reference Becker RL, Becker AD, Sobel DF (1995) Adult medulloblastoma: review of 13 cases with emphasis on MRI. Neuroradiology 37:104–108PubMed Becker RL, Becker AD, Sobel DF (1995) Adult medulloblastoma: review of 13 cases with emphasis on MRI. Neuroradiology 37:104–108PubMed
3.
go back to reference Brown JR, Darley FL, Aronson AE (1970) Ataxia dysarthria. Int J Neurol 7:302–318PubMed Brown JR, Darley FL, Aronson AE (1970) Ataxia dysarthria. Int J Neurol 7:302–318PubMed
4.
go back to reference Catsman-Berrevoets CE, van Dongen HR, Zwetsloot CP (1992) Transient loss of speech followed by dysarthria after removal of posterior fossa tumour. Dev Med Child Neurol 34:1102–1117PubMed Catsman-Berrevoets CE, van Dongen HR, Zwetsloot CP (1992) Transient loss of speech followed by dysarthria after removal of posterior fossa tumour. Dev Med Child Neurol 34:1102–1117PubMed
5.
go back to reference Darley FL, Aronson AE, Brown JR (1969a) Clusters of deviant speech dimensions in the dysarthrias. J Speech Hear Res 12:462–496PubMed Darley FL, Aronson AE, Brown JR (1969a) Clusters of deviant speech dimensions in the dysarthrias. J Speech Hear Res 12:462–496PubMed
6.
go back to reference Darley FL, Aronson AE, Brown JR (1969b) Differential diagnostic patterns of dysarthria. J Speech Hear Res 12:246–269PubMed Darley FL, Aronson AE, Brown JR (1969b) Differential diagnostic patterns of dysarthria. J Speech Hear Res 12:246–269PubMed
7.
go back to reference David KM, Casey ATH, Hayward RD, Harkness WFJ, Phipps K, Wade AM (1997) Medulloblastoma: is the 5-year survival rate improving? A review of 80 cases from a single institution. J Neurosurg 86:13–21PubMed David KM, Casey ATH, Hayward RD, Harkness WFJ, Phipps K, Wade AM (1997) Medulloblastoma: is the 5-year survival rate improving? A review of 80 cases from a single institution. J Neurosurg 86:13–21PubMed
8.
go back to reference Dennis M, Spiegler BJ, Hetherington CR, Greenberg ML (1996) Neuropsychological sequelae of the treatment of children with medulloblastoma. J Neurooncol 29:91–101 Dennis M, Spiegler BJ, Hetherington CR, Greenberg ML (1996) Neuropsychological sequelae of the treatment of children with medulloblastoma. J Neurooncol 29:91–101
9.
go back to reference Duffy JR (1995) Motor speech disorders. Substrates, differential diagnosis, and management. Mosby, Toronto Duffy JR (1995) Motor speech disorders. Substrates, differential diagnosis, and management. Mosby, Toronto
10.
go back to reference Ersahin Y, Mutluer S, Cagli S, Duman Y (1996) Cerebellar mutism: report of seven cases and review of the literature. Neurosurgery 38:60–67CrossRefPubMed Ersahin Y, Mutluer S, Cagli S, Duman Y (1996) Cerebellar mutism: report of seven cases and review of the literature. Neurosurgery 38:60–67CrossRefPubMed
11.
go back to reference Ferrante L, Mastronardi L, Acqui M, Fortuna A (1990) Mutism after posterior fossa surgery in children. J Neurosurg 72:959–963PubMed Ferrante L, Mastronardi L, Acqui M, Fortuna A (1990) Mutism after posterior fossa surgery in children. J Neurosurg 72:959–963PubMed
12.
go back to reference Fox PT, Ingham RJ, Ingham JC, Zamarripa F, Xiong JH, Lancaster JL (2000) Brain correlates of stuttering and syllable production: A PET performance-correlation analysis. Brain 123:1985–2004CrossRefPubMed Fox PT, Ingham RJ, Ingham JC, Zamarripa F, Xiong JH, Lancaster JL (2000) Brain correlates of stuttering and syllable production: A PET performance-correlation analysis. Brain 123:1985–2004CrossRefPubMed
13.
go back to reference Holmes G (1956) The Croonian lectures on the clinical symptoms of cerebellar disease and their interpretation. In: Walsh FMR (ed) Selected papers of Sir Gordon Holmes. MacMillan, London, pp 49–111 Holmes G (1956) The Croonian lectures on the clinical symptoms of cerebellar disease and their interpretation. In: Walsh FMR (ed) Selected papers of Sir Gordon Holmes. MacMillan, London, pp 49–111
14.
go back to reference Heideman RL, Packer RJ, Albright LA, Freeman CR, Rorke LB (1993) Tumors of the central nervous system. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology, 2nd edn. Lippincott, Philadelphia, pp 76–107 Heideman RL, Packer RJ, Albright LA, Freeman CR, Rorke LB (1993) Tumors of the central nervous system. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology, 2nd edn. Lippincott, Philadelphia, pp 76–107
15.
go back to reference Huber-Okrainec J, Dennis M, Bradley K, Spiegler BJ (2001) Motor speech deficits in long-term survivors of childhood cerebellar tumors: effects of tumor type, radiation, age at diagnosis, and survival years. Neuro-oncol 3:371 Huber-Okrainec J, Dennis M, Bradley K, Spiegler BJ (2001) Motor speech deficits in long-term survivors of childhood cerebellar tumors: effects of tumor type, radiation, age at diagnosis, and survival years. Neuro-oncol 3:371
16.
go back to reference Huber-Okrainec J, Dennis M, Brettschneider J, Spiegler BJ (2002) Neuromotor speech deficits in children and adults with spina bifida and hydrocephalus. Brain Lang 80:592–602CrossRefPubMed Huber-Okrainec J, Dennis M, Brettschneider J, Spiegler BJ (2002) Neuromotor speech deficits in children and adults with spina bifida and hydrocephalus. Brain Lang 80:592–602CrossRefPubMed
17.
go back to reference Hudson LJ, Murdoch BE, Ozanne AE (1989) Posterior fossa tumor-associated speech and language disorders post-surgery. Aphasiology 3:1–18 Hudson LJ, Murdoch BE, Ozanne AE (1989) Posterior fossa tumor-associated speech and language disorders post-surgery. Aphasiology 3:1–18
18.
go back to reference Kent RD, Netsell R, Abbs JH (1979) Acoustic characteristics of dysarthria associated with cerebellar disease. J Speech Hear Res 22:627–648PubMed Kent RD, Netsell R, Abbs JH (1979) Acoustic characteristics of dysarthria associated with cerebellar disease. J Speech Hear Res 22:627–648PubMed
19.
go back to reference Koh S, Turkel SB, Baram TZ (1997) Cerebellar mutism in children: report of six cases and potential mechanisms. Pediatr Neurol 16:218–219CrossRefPubMed Koh S, Turkel SB, Baram TZ (1997) Cerebellar mutism in children: report of six cases and potential mechanisms. Pediatr Neurol 16:218–219CrossRefPubMed
20.
go back to reference Mayer M (1969) Frog where are you? Dial books for Young Readers (a division of Penguin Books) Mayer M (1969) Frog where are you? Dial books for Young Readers (a division of Penguin Books)
21.
go back to reference Mulhern RK, Merchant TE, Gajjar A, Reddick WE, Jun LE (2004) Late neurocognitive sequelae in survivors of brain tumors in childhood. Lancet Oncol 5:399–408 Mulhern RK, Merchant TE, Gajjar A, Reddick WE, Jun LE (2004) Late neurocognitive sequelae in survivors of brain tumors in childhood. Lancet Oncol 5:399–408
22.
go back to reference Pollack IF, Polinko P, Albright AL, Towbin R, Fitz C (1995) Mutism and pseudobulbar symptoms after resection of posterior fossa tumors in children: incidence and pathophysiology. Neurosurgery 37:885–893PubMed Pollack IF, Polinko P, Albright AL, Towbin R, Fitz C (1995) Mutism and pseudobulbar symptoms after resection of posterior fossa tumors in children: incidence and pathophysiology. Neurosurgery 37:885–893PubMed
23.
go back to reference Rekate HL, Grubb RL, Aram DM, Hahn JF, Ratcheson RA (1985) Muteness of cerebellar origin. Arch Neurol 42:697–698PubMed Rekate HL, Grubb RL, Aram DM, Hahn JF, Ratcheson RA (1985) Muteness of cerebellar origin. Arch Neurol 42:697–698PubMed
24.
go back to reference Riva D, Giorgi C (2000) The cerebellum contributes to higher functions during development: evidence from a series of children surgically treated for posterior fossa tumours. Brain 123:1051–1061CrossRefPubMed Riva D, Giorgi C (2000) The cerebellum contributes to higher functions during development: evidence from a series of children surgically treated for posterior fossa tumours. Brain 123:1051–1061CrossRefPubMed
25.
go back to reference Steinbok P, Cochrane DD, Perrin R, Price A (2003) Mutism after posterior fossa tumour resection in children: incomplete recovery on long-term follow-up. Pediatr Neurosurg 39:179–183CrossRefPubMed Steinbok P, Cochrane DD, Perrin R, Price A (2003) Mutism after posterior fossa tumour resection in children: incomplete recovery on long-term follow-up. Pediatr Neurosurg 39:179–183CrossRefPubMed
27.
go back to reference Van Calenbergh F, Van De Laar A, Plets C, Goffin J, Casaer P (1995) Transient cerebellar mutism after posterior fossa surgery in children. Neurosurgery 37:894–898PubMed Van Calenbergh F, Van De Laar A, Plets C, Goffin J, Casaer P (1995) Transient cerebellar mutism after posterior fossa surgery in children. Neurosurgery 37:894–898PubMed
28.
go back to reference van Dongen HR, Catsman-Berrevoets CE, van Mourik M (1994) The syndrome of ‘cerebellar’ mutism and subsequent dysarthria. Neurology 44:2040–2046PubMed van Dongen HR, Catsman-Berrevoets CE, van Mourik M (1994) The syndrome of ‘cerebellar’ mutism and subsequent dysarthria. Neurology 44:2040–2046PubMed
29.
go back to reference Vandeinse D, Hornyak JE (1997) Linguistic and cognitive deficits associated with cerebellar mutism. Pediatr Rehabil 1:41–44PubMed Vandeinse D, Hornyak JE (1997) Linguistic and cognitive deficits associated with cerebellar mutism. Pediatr Rehabil 1:41–44PubMed
30.
go back to reference Wechsler D (1991) Wechsler intelligence scale for children, 3rd edn. The Psychological Corporation, New York Wechsler D (1991) Wechsler intelligence scale for children, 3rd edn. The Psychological Corporation, New York
31.
go back to reference Yaruss JS (1998) Real-time analysis of speech fluency: procedures and reliability training. Am J Speech-Lang Pathol 7:25–37 Yaruss JS (1998) Real-time analysis of speech fluency: procedures and reliability training. Am J Speech-Lang Pathol 7:25–37
Metadata
Title
Long-term effects of transient cerebellar mutism after cerebellar astrocytoma or medulloblastoma tumor resection in childhood
Authors
Joelene F. Huber
Kim Bradley
Brenda J. Spiegler
Maureen Dennis
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 2/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-005-1223-4

Other articles of this Issue 2/2006

Child's Nervous System 2/2006 Go to the issue