The Understanding of Pediatric Akinetic Mutism.

Pediatric akinetic mutism syndrome is a clinical disease resulting from cerebellar injury and characterized by the absence of speech or reduced speech, emotional lability, there may also be hypotonia, oropharyngeal dysfunction/dysphagia, bladder and intestinal incontinence, or other behavioral disorders and neurological signals. It is described as the most recurrent complication in children, after posterior fossa tumor surgery, mainly related to cerebellar midline injuries. An increasing number of research and prospective reviews have provided valuable information on cerebellar mutism syndrome in recent years.

[Intraoperative mapping of motor areas during brain tumor surgery: electrical stimulation patterns].

Unlabelled: Brain mapping with direct electrical stimulation is usefull when the tumor is located near or has infiltrated the central lobe.

Objective: To analyze the surgical findings with direct electrical stimulation of the cortex and white matter under general anesthesia during surgery for brain tumors related to the central lobe.

Method: We studied 42 patients operated on from June 2000 to June 2003.