Orlov Iu A, Zentani S
Zh Vopr Neirokhir Im N N Burdenko. 2001 Jan-Mar(1):6-9; discussion 10.
Over 10 years (1990-1999), the Pediatric Department, Ukrainian Institute of Neurosurgery named after Academician A. P. Romodanov, operated on 376 children with posterior fossa tumors. Thirty two 8.7% children developed a posterior fossa syndrome and cerebellar mutism syndrome postoperatively. This paper gives a detailed analysis of the date available in the world literature on the incidence and causes of mutism, and mechanisms of its development. Many factors predisposing to mutism were identified, but no anatomic structures responsible for its formation were found. In the authors' opinion, mutism may not result from anatomic structures, but from the functioning of afferent or efferent connections to this brain region bilaterally.
在10多年间（1990 - 1999年），以A. P. 罗莫达诺夫院士命名的乌克兰神经外科研究所儿科，为376例后颅窝肿瘤患儿实施了手术。其中32例（8.7%）患儿术后出现了后颅窝综合征和小脑缄默症综合征。本文对世界文献中有关缄默症的发病率、病因及其发生机制的现有数据进行了详细分析。确定了许多易导致缄默症的因素，但未发现负责其形成的解剖结构。作者认为，缄默症可能并非由解剖结构引起，而是由双侧与该脑区的传入或传出连接的功能所致。
