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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 1,076 - 1,081 (6page)
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Cerebellar mutism (CM) is a rare neurological condition characterized by lack of speech due to cerebellar lesions. CM is often reported in children. We describe a rare case of CM after spontaneous cerebellar hemorrhage. The patient showed mutism, irritability, decreased spontaneous movements and oropharyngeal apraxia. Diffusion tensor imaging revealed significant volume reduction of medial frontal projection fibers from the corpus callosum. In Tracts Constrained by UnderLying Anatomy (TRACULA) analysis, forceps major and minor and bilateral cingulum-angular bundles were not visualized. Cerebello-frontal pathway reconstructed from the FMRIB Software Library showed continuity of fibers, with decreased number of fibers on qualitative analysis. These results suggest that cerebello-frontal disconnection may be a neuroanatomical mechanism of CM. Damage of brain network between occipital lobe, cingulate and cerebellum caused by hemorrhage may also have role in the mechanism of CM in our case.
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참고문헌 (10)
참고문헌 신청
Assaf Y / 2006 / Diffusion tensor imaging in hydrocephalus: initial experience / AJNR Am J Neuroradiol 27 : 1717 ~ 1724
Catsman-Berrevoets CE / 2010 / The spectrum of neurobehavioural deficits in the Posterior Fossa Syndrome in children after cerebellar tumour surgery / Cortex 46 : 933 ~ 946
Dubey A / 2009 / Complications of posterior cranial fossa surgery: an institutional experience of 500 patients / Surg Neurol 72 : 369 ~ 375
Kuper M / 2013 / Cerebellar mutism / Brain Lang 127 : 327 ~ 333
Law N / 2012 / Clinical and neuroanatomical predictors of cerebellar mutism syndrome / Neuro Oncol 14 : 1294 ~ 1303
Catsman-Berrevoets CE / 2010 / The spectrum of neurobehavioural deficits in the Posterior Fossa Syndrome in children after cerebellar tumour surgery / Cortex 46 : 933 ~ 946
Dubey A / 2009 / Complications of posterior cranial fossa surgery: an institutional experience of 500 patients / Surg Neurol 72 : 369 ~ 375
Kuper M / 2013 / Cerebellar mutism / Brain Lang 127 : 327 ~ 333
Law N / 2012 / Clinical and neuroanatomical predictors of cerebellar mutism syndrome / Neuro Oncol 14 : 1294 ~ 1303
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