Cerebellar mutism in acute disseminating encephalomyelitis

Sarah McAndrew*, Robert Listernick, Nancy Kuntz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Background Cerebellar mutism in children occurs after posterior fossa tumor resection and can have lasting effects on cognition, language, and behavior. Cerebellar mutism in acute disseminated encephalomyelitis is rare. Patient A 7-year-old boy with a 3-day history of fever, vomiting, and diarrhea presented with altered mental status and expressive aphasia. Magnetic resonance imaging showed new diffusion restriction in the bilateral dentate nuclei and right cerebellum. With treatment, he began to verbalize again but had long-term cognitive and language difficulties. Conclusion Acute disseminated encephalomyelitis is commonly a benign process, but its effect on the cerebellum can be long-lasting.

Original languageEnglish (US)
Pages (from-to)511-514
Number of pages4
JournalPediatric neurology
Issue number5
StatePublished - May 2014


  • acute disseminating encephalomyelitis
  • aphasia
  • cerebellar mutism
  • dentate nucleus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology


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