缄默症

后颅窝肿瘤术后小脑性缄默症：相关危险因素分析

Cerebellar mutism after the posterior fossa surgery : analysis of the risk factors

脑外伤后无动性缄默症的诊断与治疗

Diagnoses and therapy of akinetic mutism after brain trauma

开颅术后缄默症病人的护理

Nursing Care of Patients with Mutism After Craniotomy

目的探讨开颅术后缄默症的发病机理及预防和预后。

Objectives To inquire into the mechanism , prevention and prognosis of postoperative mutism after Craniotomy .

方法回顾性分析开颅术后缄默症7例。

Q & A on Sex Methods 7 cases of postoperative mutism after craniotomy were analyzed retrospectively .

目的探讨颅脑外伤病人无动性缄默症（AM）的诊断及治疗方法。

Objective To investigate the diagnoses and therapy of akinetic mutism ( AM ) after brain trauma .

结果：去大脑皮层综合征9例，运动不能性缄默症5例，闭锁综合征2例，持续性植物状态4例，其它9例。

Locked in Syndrome 2 cases ; Persistance Vegetative state 4 cases . And other 9 cases could not be recognized .

结论儿童后颅凹小脑蚓部巨大型肿瘤全切术后易出现缄默症。

Conclusion Transient mutism may occur in pediatric patient following removal of a giant tumor in region of the cerebellar vermis .

方法回顾性分析我院小儿神经外科1996年至1999年收治的200例后颅凹肿瘤，其中12例出现术后缄默症。

Methods Two hundred children with removal of posterior fossa tumor were reviewed retrospectively , and 12 cases of transient mutism were observed .

结果12例缄默症，全部为巨大型小脑蚓部肿瘤凸入四脑室，并向双侧小脑半球浸润生长。

Results All cases of transient mutism haboured a giant tumor in the region of the cerebellar vermis with invasion of the fourth ventricle and cerebellar hemisphere .

治疗组中非流利性失语语言恢复人数较对照组差异有显著意义（P<0.05），运动不能性缄默症消失人数差异有非常显著意义（P<0.01）。

The recovery of non-fluent aphasia in the patients of treatment group indicated significant difference comparing with control group ( P < 0.05 ) . The recovery of the akinetic mutism revealed more significant difference ( P < ( 0.01 ) . )

并发症：术后继发颅内血肿4例，脑水肿及梗死6例（再次手术减压4例），缄默症1例，脑脊液漏3例，颅内感染1例。

Complications included 4 cases of intracranial hematoma , 6 cases of cerebral edema and infarction ( re-operation of decompression was required in 4 cases ), 1 case of mutism , 3 cases of cerebrospinal fluid leakage , and 1 case of intracranial infection .