Chao Jerry Y, Liu Che, Shetty Naveen, Shah Ushma
From the *Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York; and †Department of Anesthesiology, Rutgers University-Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
A A Case Rep. 2017 Apr 15;8(8):213-215. doi: 10.1213/XAA.0000000000000467.
Cerebellar mutism syndrome (CMS) is a common complication of posterior fossa surgery that can confound the postanesthetic examination and have long-lasting impacts. There is confusion surrounding its precise description, diagnostic features, and associated morbidity. Here, we discuss the most up-to-date knowledge of CMS drawing from a clinical case in the context of 3 new reports: (1) an international consensus paper presenting a new proposed working definition by the Iceland Delphi Group, (2) a knowledge update by Gadgil et al, (3) and a review of neuroimaging-based data elucidating the etiology of CMS by Patay.
小脑缄默综合征（CMS）是后颅窝手术的常见并发症，可使麻醉后检查变得复杂，并产生长期影响。关于其确切描述、诊断特征和相关发病率存在混淆。在此，我们结合3篇新报告中的一个临床病例，讨论CMS的最新知识：（1）一份国际共识文件，提出了冰岛德尔菲小组新的拟用工作定义；（2）加吉尔等人的知识更新；（3）帕泰对基于神经影像学数据的综述，阐明了CMS的病因。
