{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T13:19:31Z","timestamp":1774271971348,"version":"3.50.1"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,6]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Three patients aged 5\u00bd to 9 years old with mutism after posterior fossa surgery are presented. The entity is discussed with a review of 15 additional previously reported cases in children aged 2 to 11 years. In all 18 patients, a large midline tumor of the posterior fossa (medulloblastoma in nine cases, astrocytoma in five, and ependymoma in four), often attached to one or both lateral recesses of the fourth ventricle, was removed. Mutism developed 18 to 72 hours after the operation (mean 41.5 hours) in patients with no disturbance of consciousness and no deficits of the lower cranial nerves or of the organs of phonation. All of these children had spoken in the first hours after surgery. The disorder lasted from 3 to 16 weeks (mean 7.9 weeks). Speech was regained after a period of dysarthria in six of the 10 cases for whom this information was available. The various hypotheses advanced to explain the pathogenesis of this speech disorder are analyzed.<\/jats:p>","DOI":"10.3171\/jns.1990.72.6.0959","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T18:20:32Z","timestamp":1242238832000},"page":"959-963","source":"Crossref","is-referenced-by-count":90,"title":["Mutism after posterior fossa surgery in children"],"prefix":"10.3171","volume":"72","author":[{"given":"Luigi","family":"Ferrante","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Mastronardi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Acqui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldo","family":"Fortuna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Aphasia, Alexia and Agraphia.","first-page":"163","author":"Benson","year":"1979"},{"key":"b2","series-title":"Speech Disorders. Aphasia, Apraxia, and Agnosia","first-page":"1","author":"Brain","year":"1965"},{"key":"b3","series-title":"Handbook of Clinical Neurology. Vol 2: Localization in Clinical Neurology.","first-page":"392","article-title":"Cerebellar syndromes","author":"Dow","year":"1969"},{"key":"b4","series-title":"Appl Neurophysiol","first-page":"81","article-title":"Effects of stereotactic lesions of the dentate nucleus of the cerebellum in man.","volume":"38","author":"Fraioli","year":"1975"},{"key":"b5","series-title":"Acta Neurochir Suppl","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1007\/978-3-7091-8482-0_5","article-title":"Neurosurgical treatment of spasticity and dyskinesias.","volume":"24","author":"Guidetti","year":"1977"},{"key":"b6","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/BF01406016","article-title":"Medulloblastoma in childhood. Survival and functional results.","volume":"48","author":"Hirsch","year":"1979"},{"key":"b7","series-title":"Lancet","first-page":"59","article-title":"The Croonian lectures on the clinical symptoms of cerebellar disease and their interpretation.","volume":"2","author":"Holmes","year":"1922"},{"key":"b8","series-title":"Concepts in Pediatric Neurosurgery.","first-page":"57","article-title":"Mutism after posterior fossa tumor surgery","volume":"9","author":"Humphreys","year":"1989"},{"key":"b9","series-title":"Ann Neurol","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1002\/ana.410030402","article-title":"Speech disorders in cerebellar disease.","volume":"3","author":"Lechtenberg","year":"1978"},{"key":"b10","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1001\/archneur.1985.04060070091023","article-title":"Muteness of cerebellar origin.","volume":"42","author":"Rekate","year":"1985"},{"key":"b11","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1001\/archneur.1970.00480230026003","article-title":"Cerebral vascular disease and behavior. I: The syndrome of the mesencephalic artery (basilar artery bifurcation).","volume":"22","author":"Segarra","year":"1970"},{"key":"b12","series-title":"Confin Neurol","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1159\/000103389","article-title":"Functional anatomy of the dentate nucleus in the light of stereotaxic operations.","volume":"32","author":"Siegfried","year":"1970"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/72\/6\/article-p959.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/72\/6\/article-p959.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/72\/6\/article-p959.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T22:05:54Z","timestamp":1679868354000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/72\/6\/article-p959.xml"}},"subtitle":["Report of three cases"],"short-title":[],"issued":{"date-parts":[[1990,6]]},"references-count":12,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.1990.72.6.0959","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1990,6]]}}}