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Cerebellar mutism after embolization of vermian arteriovenous malformation

  • Case Report
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Abstract

Background

Cerebellar mutism is usually associated with posterior fossa tumor surgery.

Case Report

We report a case of a 17-year-old female, presented with headache and tremor after hemorrhage from a vermian arteriovenous malformation. She was successfully treated by embolization; however, on immediate postoperative, she developed persistent mutism. To the best authors’ knowledge, this is the first case of cerebellar mutism after endovascular treatment reported in the medical literature.

Conclusion

The endovascular approach may have the same potential of complication of conventional surgery; therefore, more study is necessary to clarify the role and limits of this technique to treat cerebellar arteriovenous malformation.

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Authors and Affiliations

  1. Department of Neurosurgery, Hospital de Clinicas - UFPR, and Hospital Pequeno Principe, Rua General Carneiro 181, 8° Andar, Curitiba, PR, Brazil

    Zeferino Demartini Jr

  2. Department of Neurosurgery, Cajuru University Hospital, Department of Neurosurgery, Pontifical University Catholic of Parana – PUCPR, Curitiba, PR, Brazil

    Zeferino Demartini Jr, Fernando Schmitz, Leandro M. Ribas, Gelson Luis Koppe & Luana A. M. Gatto

  3. Department of Neurology, Hospital Marcelino Champagnat, Curitiba, PR, Brazil

    Ana Caroline Dariva Chula

Authors
  1. Zeferino Demartini Jr
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  2. Fernando Schmitz
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  3. Ana Caroline Dariva Chula
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  4. Leandro M. Ribas
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  5. Gelson Luis Koppe
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  6. Luana A. M. Gatto
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Contributions

All authors contributed to the study conception and design. Dr. Schmitz and Dr. Ribas performed material preparation, data collection, and analysis. Dr. Chula prepared the images and achieved the informed consent, while Dr. Demartini wrote the first draft of the manuscript. Dr. Gatto and Dr. Koppe made critical revision of the manuscript. All authors commented on previous versions of the manuscript and also read and approved the final manuscript.

Corresponding author

Correspondence to Zeferino Demartini Jr.

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Conflict of interest

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Informed consent

A parental permission in research with children was achieved, and the informed consent was sent attached.

Research involving human participants

The study was performed in accordance with the ethical standards; all patient identification was removed to preserve anonymity.

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Demartini, Z., Schmitz, F., Chula, A.C.D. et al. Cerebellar mutism after embolization of vermian arteriovenous malformation. Childs Nerv Syst 36, 1301–1305 (2020). https://doi.org/10.1007/s00381-019-04483-8

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  • DOI: https://doi.org/10.1007/s00381-019-04483-8

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