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July 1985

Muteness of Cerebellar Origin

Author Affiliations

From the Divisions of Neurosurgery (Drs Rekate and Ratcheson) and Pediatric Neurology (Dr Aram), Case Western Reserve University School of Medicine, Cleveland; the Department of Neurology and Neurological Surgery, Washington University Medical School, St Louis (Dr Grubb); and the Division of Neurosurgery, Cleveland Clinic Foundation (Dr Hahn). Dr Rekate is now with the Barrow Neurological Institute, Phoenix.

Arch Neurol. 1985;42(7):697-698. doi:10.1001/archneur.1985.04060070091023

• Acute bilateral damage to large areas of both cerebellar hemispheres including the dentate nuclei led to temporary loss of speech in six children. In each case muteness was unassociated with motor paralysis, loss of higher cognitive functions, or cranial nerve dysfunction. Muteness lasted one to three months. All patients were severely dysarthric during recovery. We conclude that transient muteness may result from acute bilateral cerebellar injury.

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