Abstract

Cerebellar mutism is a documented complication of posterior fossa surgery in children. it occurs after resection of a cerebellar mass lesions, is delayed in onset after a brief interval of 1-2 days of relatively normal speech post surgery and there is transient mutism that lasts from 1 day to 6 months, followed by a severe dysarthria, which recovers completely in 1-3 months.It is frequently associated with other neurological manifestations, such as long tract signs and neurobehavioural abnormalities.1,2 We present a rare case where cerebellar mutism was the presenting feature of a Cervicomedullary junction lipoma which completely recovered after surgery.

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