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Cerebellar Mutism Amy
•
9 yrs old presenting with double
vision, headaches,, vomiting and neck
stiffness
•
Bilateral papilloedema, upgaze
limitation, left hand incoordinaiton,
no ataxia, normal gait
•
CT scan midline cerebellar tumour, 4
cms, mild hydrocephalus.
•
Dexamethaosne 48 hours, operation
to relieve hydrocephalus and remove
tumour. Histo: Medulloblastoma
•
Post operatively 24 hours speech
incomprehensible, left eye deviated
down
•
48 hours Admitted to ICU with
aspiration pneumonia
•
72 hours developed triplegia of both
arms and left leg, not responding to
commands
•
At 3weeks: Swallowing and
comprehension started to improve
•
At 7 weeks Underwent radiotherapy
35 / 54 Gy starting to swallow safely
•
At 4 months able to walk, talk in short
sentences, had good comprehension
and eat solid foods.
•
Plans were made for return to
education thereafter